Laserfiche WebLink
N EBRA&K-A. <br />t <br />Of eevaxyt. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000118-6 <br />Debtor Name: AGUNG PROBOWO <br />Filing Date and Time: 11/04/2022 10:37 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />202207829 <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien.This lien will expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Iebrask. in Number <br />48502111 <br />Lien Serial Number <br />12212849 <br />Dale or Lien <br />October 27, 2022 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Lien Fled With: <br />Register of Deeds O County :lark <br />Lien 'Type <br />ChgUrut! 0Continuation <br />Federal D Number <br />NO FEIN <br />Social Security Number ' Spouses Social Sonority Number <br />XXX -XX -7959 NO SPOUSE SSN <br />Courtly <br />❑Corrected HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />AGUNG PROBOWO <br />1206 DEDAR RIDGE CT APT 101 <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2018 <br />11/29/2021 <br />$402.00 <br />$20.10 <br />$56.45' <br />$478.55 <br />Individual <br />2019 <br />11/29/2021 <br />$653.00 <br />$32.65 <br />$50.81 <br />$736.46 <br />Total <br />$1,215,01 <br />I certify that the Nebraska Department of Revenue has complied With the lams of the State of Nebraska in determining the amount shown to be due <br />and than the taxpayer has failed to pay the amount due after demand. This Notice at Stale Tax Lien is an effective bion and serves to continue the priority of <br />this State's interest hr the a@+k;ed property of the taxpayer. <br />sign �'�► <br />here r Artpa s64=0,0" <br />Leea 426.64 <br />3 atis6& <br />Authorxeel Sign rtute <br />Revenue Agent 10/27/2022 1308)632-1210 <br />Title Date Phone Number <br />Revenue Supervisor 10/27/2022 <br />I ibo Date <br />t-4 W-'8rn fiev. B IllIe Supersedes 4.gag,lgca un.. 5.2(03 <br />