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&4A Good Life. Great Service. aeoron«exror Aver.. NE Sec of State - Robert B. Evnen Filing Document #: 2211000310-2 Pages: 1 Debtor Name: BRITTANNIE A WALLACE Filing Date and Time: 11/08/2022 09:54 AM Notice of State Tax Lien 202207892 This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown be:ow, are due from the taxpayer and remain unpaid after demand.T'hese taxes are a Nen for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this Iien.This Hen will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE INTHIS SPACE Nebraska ID Number 97139963 Federal ID Number NO FEIN Lien Serial Number 12213733 Lien Fied With: ixi Reg**, of Deeds 0 camly Clerk Social Sewdly Number XXX -XX -2426 Spouses Social Secunly NurrdYer NO SPOUSE SSN Date of Lien November 3, 2022 Lien Type: 0 Corrected County HALL ), Original ■ Continuation Business Name and Location Address Taxpayer Name and Mailing Address BRITTANNIE A WALLACE 2210 CIRCLE DR GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due individual 2019 10/24/2021 $533.22 $26.70 $41.84 $601.76 Total $601.76 I certify that the Nebraska Department of Revenue hes complied with the laws of the State of Nebraska In determining the amount shown to be due, end mat the taxpayer has tailed to pay the amount due after demand. This Notice of State Tao Lien Is en effective lien and serves to continue the priority of the States interest In the effected property 01 the taxpayer. Revenue Senior Agent 11/03/2022 (402)471-4339 Title Date Pion Number Revenue Supervisor 11/03/2022 Tile Date 4494.1874 Rov. B-2218 Supersedes 4448.1874 Rev. 8-2015