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Ga G Life. Greet Serowe. <br />202604090 <br />NE Sec of State - Robert B. Evne1 <br />Filing Document #: 2308000327-7 <br />Debtor Name: MICKEY D TOURNEY <br />Filing Date and Time: 08/10/2023 10:21 AM <br />Pages: 1 <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 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 00 NOT WRITE IN Tuts SPACE <br />NObeaska ID Number <br />36468916 <br />Fedfral 0 Number <br />NO FEIN <br />Lien Ser19I Number <br />12341893 <br />Lien Fred ww1: <br />SoclaE Security Number <br />XXX -XX -4059 <br />Spouses SOaief Security Number <br />NO SPOUSE SSN <br />/..4 Registerof Deeds ['County Cleric <br />Date of Lien <br />August 4, 2023 <br />Lien Type: <br />OD OrliShil ['Continuation ❑conected <br />County <br />HALL <br />Business Name and Lo <br />ion Add <br />a <br />Taxpayer Name and Mailing Address <br />MICKEY 0 TOURNEY <br />1306 WEST ST <br />WOOD RIVER NE 68883 <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 />12/27/2022 <br />$1,641.00 <br />$418.25 <br />$128.54 <br />$2,188.79 <br />Individual <br />2021 <br />12/27/2022 <br />$68.00 <br />$17.00 <br />$3.47 <br />$88.47 <br />Total <br />$2,277.26 <br />I certify that the Nebraska Department of Rename has complied with the lame of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has Wed to pay the amount due after demand. This Notice of Stab Tex Lien Is en esamNe fen and serves to continue the priority of <br />the States interest in the affected property of the taxpayer. <br />sign at -L <br />here r� gnetpre <br />1 1}e6/4. <br />Authorized Signature <br />Revenue Agent 08/04/2023 (308)632-1210 <br />The Date Phone Number <br />Revenue Supervisor 08/04/2023 <br />Tile Data <br />4494-1974 Rae e-eots Supersedes 4948.1974 Ram 62013 <br />