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N.CB,A&KA. <br />.,W i.4e. Citaxt Service. <br />WENOITVISfkr <br />20230103 <br />NE Sec of State - Robert B. Evnat <br />Filing Document #: 2303000095-6 Pages: 1 <br />Debtor Name: TYLOR DIBBERN <br />Filing Date and Time: 03/03/2023 10:46 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 tatt::ayer 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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska tD Number <br />93163436 <br />Federal 0 Number <br />NO FEIN <br />Lien. Serial Nu h4ter <br />12321933 <br />Len Filed WNh: <br />®Register of Deeds 0 County perk <br />Social Security Number <br />XXX -XX -4181 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date oi' Len <br />February 28, 2023 <br />Ls+t Type: <br />0c«rected <br />County <br />HALL <br />i/ original ■ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Nailing Address <br />TYLOR DIBBERN <br />611 S ALEXANDRIA ST <br />CAIRO NE 68824 <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 />05/12/2022 <br />$245.00 <br />$12.25 <br />$34.10 <br />$291.35 <br />Individual <br />2020 <br />03/03/2022 <br />$800.00 <br />$40.00 <br />$45.46 <br />$885.46 <br />Total <br />$1,176.81 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has failed to pay the amount due air demand. This Notice of State Tax Lien Is an elective ren end serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here I PreparerS Signature <br />Aufhvrizod Signatute <br />Revenue Agent 02/28/2023 (402)471-0987 <br />Tale Date Phone Number <br />Revenue Supervisor 02/28/2023 <br />Title Date <br />4.494.1974 rtev, a -23r8 Supersede, 4449.1974 Rae. 9•2013 <br />