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Good Life. Great Service. <br />202300588 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2302000132-7 Pages: 1 <br />Debtor Name: JAMES M TIMMERMAN <br />Filing Date and Time: 02/06/2023 09:47 AM <br />Notice of State Tax Lien <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 iien.Thls 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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />42433614 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12318768 <br />Lien Filed With: <br />Social Security Number <br />XXX -XX -6544 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />F4Register ofDeeds [3 County Cleric <br />Date of Lien <br />January 30, 2023 <br />Lien Type: <br />❑Corrected <br />County <br />HALL <br />I4 original ■ Continuation <br />usiness Name and Location Address <br />Taxpayer Name and Maili <br />Address <br />JAMES M TIMMERMAN <br />7 VENUS ST <br />ALDA NE 68810 <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 />2016 <br />08/14/2022 <br />$948.00 <br />$237.00 <br />$204.40 <br />$1,389.40 <br />Total <br />$1,389.40 <br />I certify that the Nebraska Department of Revenue has cornpfed with the laws of the State of Nebraska In dehamini g the amount shown to be due. <br />and that the taxpayer has faded to pay the amount due after demand. This Notice of State Tax Lien Is an effective pen and serves to continue the priority of <br />the States interest in the affected property of the taxpayer. <br />sign �8rid4et-Martin <br />here r'sSignature <br />La .t4 <br />Authorized Signature <br />Revenue Anent 01/30/2023 (308)632-1210 <br />Title Date Phone Number <br />Revenue Supervisor 01/30/2023 <br />Title Data <br />44e4.1974 Per. a -201a Suparaeeee 4949.1974 Rev. 64013 <br />