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Good Life. Great Service. NE Sec of State - Robert B. Evnen Filing Document #: 2211000664-0 Pages: 1 Debtor Name: LINDSAY N BLYTHE Filing Date and Time: 11/18/2022 10:17 AM Notice of State Tax Lien 202208109 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 below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located In the county and rights to property owned by the taxpayer or acquired before the expiration of this lien.This lien 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 t1O NOT WRITE IN THI8 SPACE Nebraska ID Number 99466996 Federal ID Number NO FEIN Lien Serial rxumeer 12214503 Lien Filed Wah: Social Security Number XXX -XX -431112 Spouse's Social Security Number NO SPOUSE SSN i7 Register of Deeds • County Clerk Dale of Lien November 15, 2022 Lien Type: ❑fid County HALL i.1 0ripinel ■ Coremuation Business Name and Location Address Taxpayer Name and Mailing Address LINDSAY N BLYTHE 1112 HALL ST GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty interest Costs Total Due Individual 2019 07/27/2021 5398.65 $185.00 $45.45 $829.10 Total $629.10 I certify set the Nebraska Department of Revenue hat complied wah the taws of the State of Nebraska hr determining the amount shown to be due, and that the taxpayer has failed to pay the amount clue after demand, This Notice of State Tex Lien Is en eflaotive lien and serves to continue the priority of the Stalls Mtereet in em affected property of the taxpayer. Revenue Senior Agent Title 11/15/2022 (402)471-4339 Date Phone Number Revenue Supervisor 11/15/2022 Tide Date 4491.197/ SOY. e-t0te Supeaetles 44301974 RIM 84019