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NES &44A -- <br />Good Life. Great Service. <br />*PARA .axr euc <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2307000821-9 Pages: 1 <br />Debtor Name: JARED R BARKER <br />Filing Date and Time: 07/28/2023 09:45 AM <br />Notice of State Tax Lien <br />202303855 <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 />93266050 <br />Federal <br />NO FEIN <br />0 Number <br />Lien Serial Number <br />12340604 <br />Lien Filed Wdth. <br />Social Security Number <br />XXX -XX -8329 <br />Spouses Somal Security Number <br />NO SPOUSE SSN <br />{ Aasister ofDeeds ©ContyCIk <br />leoflan <br />July 24, 2023 <br />lien Type. <br />0Cemedtad <br />County <br />HALL <br />1:1 Original Dconmuelon <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JARED R BARKER <br />1505 W 5TH <br />GRAND ISLAND NE 68801 <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 />04/18/2022 <br />$909.17 <br />$45.50 <br />$69.90 <br />$1,024.57 <br />Total <br />$1,024.57 <br />I certify that the Nebraska Department of Revenue has complied with the lawn of the Slate of Nebraake in determkting the amount shown to be due, <br />and that the taxpayer has rased to pay the amount due alter demand. This Notice of Sate lax lien is an effective hen and serves to corvine the prfodty of <br />the States interest in are aaarAed properly of the taxpayer. <br />sign S 74 <br />here Preparers Signature <br />.f% A - <br />Revenue Agent 07/24/2023 (308)832-1208 <br />Title Date Phone Number <br />Revenue Supervisor 07/24/2023 <br />Authorized Signature Tile <br />Date <br />4-84.1874 Reit e201e Sapraedea 44fa•1974 Aer.8•20t3 <br />