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Good Lite. Great Service. <br />eM/r4.11.41111rn—' <br />20230664 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2312000560-3 Pages: 1 <br />Debtor Name: CAESAR W TONGUN <br />Filing Date and Time: 12/20/2023 10:47 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 duo from the taxpayer end remein <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 Ilen.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 />98293813 <br />Fedarat ID Number <br />NO FEIN <br />Lien Serial Number <br />12355421 <br />Lien Flied NM <br />® Roes of Deeds 0 County park <br />Social Security Number <br />XXX -XX -3882 <br />Spouses Sodal Security Humber <br />NO SPOUSE SSN <br />Date of Lien <br />December 12. 2023 <br />Lien Type: <br />® owl OCoMinuatknn 0 Correctied <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />CAESAR W TONGUN <br />322 WEST VIRGINIA ST APT 15 <br />GRAND ISLAND NE 68803 <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 />2019 <br />12/25/2021 <br />$274.09 <br />$31.75 <br />$71.04 <br />$376.88 <br />Individual <br />2020 <br />12/25/2021 <br />$863.00 <br />$43.15 <br />$82.96 <br />$989.11 <br />Total <br />$1,365.99 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown In be due. <br />and that the taxpayer has failed to pay the amount der after demand. TN* Notice of State Tax Lien Is an elective lien and serves In continua the priority of <br />the Slate's Merest In the affected property of the taxpayer. <br />Sign II, Z7..ee.r:Xa,tei Revenue Agent 12/12/2023 (3081632-1206 <br />herePreparer'sSignature Tele Dale Phone Number <br />Z-aT..4.% Airttg i. Revenue Supervisor 12/12/2023 <br />Authorized Signature Tile Date <br />4-4441074 ROW 8405 Supmeeee 4943 -Ills Rat 9.2013 <br />