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A <br />Good Life. Great Saimaa. <br />nrm0nwwrer •611x116 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2304000195-4 Pages: 1 <br />Debtor Name SABRINA A YOUNG <br />Filing Date and Time: 04/05/2023 11:39 AM <br />Notice of State Tax Lien <br />202301617 <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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />45710678 <br />Federal 0 Number <br />NO FEIN <br />lien Serial Number <br />12325242 <br />len Fffed With: <br />Q Register of Deeds 0Getti), Cern <br />Social Security Number <br />XXX-XX.4184 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />March 27, 2023 <br />Lien Type: - <br />DCorected <br />COunty <br />HALL <br />);4 Original OConffnuauon <br />usmess Name and Location <br />Taxpayer Name and Mailing Address <br />SABRINA A YOUNG <br />APT D <br />1709 31ST ST <br />CENTRAL CITY NE 88826 <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 />2020 <br />04/19/2021 <br />$1,541.87 <br />$59.55 <br />$97.52 <br />$1,698.94 <br />Individual <br />2021 <br />05/17/2022 <br />$459.00 <br />$22.95 <br />$15.22 <br />$497.17 <br />Total <br />$2,196.11 <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 les taied to pay the amount due alter demand. This Notice of State Tee Lien is an effective hen and serves to continue the priority of <br />the States Interest in the affected property of the isxpayer. <br />sign <br />here f Frep/arer'sSi�gnature <br />A/ ! <br />Authorized Signature <br />Revenue Senior Agent 03/27/2023 (308)632-1203 <br />Title Dae Phone Number <br />Revenue Supervisor 03/27/2023 <br />Title Dale <br />4-494.1974 net a-SOta Supersedes 4949.1974 Rev. 9-203 <br />