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Good We, Great Service. <br />01.111..81.11 Of RIEVIMIllg <br />202301739 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2304000464-1 Pages: 1 <br />Debtor Name: MICHAEL J WESTERBY <br />Filing Date and Time: 04/11/2023 10:13 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 atter 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.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 <br />RITE IN THIS SPACE <br />Nebraska ID Number <br />32088477 <br />Federal 0 Number <br />NO FEIN <br />Interest <br />Lien Serial Number <br />12325973 <br />Lien Filed With: <br />Social Security Number <br />XXX -XX -2457 <br />2018 <br />Spouse's Social Security Number <br />XXX -XX -1669 <br />I1 Register of Deeds 0 County Clerk <br />Date of Lien <br />March 31, 2023 <br />I <br />Lien Type: <br />County <br />HALL <br />E1 Original 0 continuation <br />■ Corrected <br />axpayer Name and Mailing Address <br />MICHAEL J WESTERBY <br />MANDY C WESTERBY <br />1821 BARBARA AVE <br />GRAND ISLAND NE 68803-6302 <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 />02/14/2020 <br />$.00 <br />$437.00 <br />$666.61 <br />$1,103.61 <br />Individual <br />2019 <br />10/30/2020 <br />$4,572.00 <br />$383.13 <br />$456.52 <br />$5,411.65 <br />Total <br />$6,515.26 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the Stale of Nebraska In determining the amount shown to be dura, <br />and that the taxpayer has faded to pay the amount due after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer, <br />- :`eri*nature <br />1 A iUdS/ <br />Authorized Signature <br />Revenue Senior Agent 03/31/2023 (308)632-1203 <br />Title Date Phone Number <br />Revenue Supervisor 03/31/2023 <br />Title <br />Date <br />44044974 RW. 840,0 Supersedes 0.909-1974 Rev. 84013 <br />