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Good Lite. Great envier. <br />....n..a...www <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2401000820-5 Pages: 1 <br />Debtor Name: ALICIA SIEFKEN <br />Filing Date and Time: 01/26/2024 11:29 AM <br />Notice of State Tax Lien <br />202400402 <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 end remain <br />unpaid after demend.These taxes are a Nen for ail property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Iisn.This lien will expire end <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 Ben or continuation statement. <br />PLEASE DO war WRITE INTRO SPACE <br />Nebraska ID NumMK <br />14719525 <br />Federal <br />NQ FEIN <br />D Number <br />Lien Serial Number <br />12320913 <br />Llen oiled mit,: <br />® Replete of Deeds 0 Climb, Clerk <br />Social Swirly Number <br />XXX -XX -5368 <br />Spouses Bode Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />December 14,2023 <br />t <br />Lien Ty5pe <br />®ay*w ❑Costume, DConecled <br />County <br />HALL <br />nosiness Name aria location Address <br />expeller Name and Mailing Address <br />ALICIA SIEFKEN <br />ABOVE & BEYOND CLEANING <br />926 SOUTH CLARK <br />GRAND ISLAND NE 68801 <br />1 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />12/01/2021 - 12/31/2021 <br />04/06/2023 <br />4,606.32_ <br />1.500.00 <br />830.63 <br />.00 <br />6,936.95 <br />Total <br />6,936.95 <br />1 certify that the Nebraska Department 01 Revenue hes complied with the Mas of the Sha of Nebraska In d.terrnlning the amount shown to be due, <br />end that the taxpayer has famed to pay the amount** siker demand, This Nolo* of She Tax Lien Is an sMadhe lien and aeras to continue the priority ml <br />the Sttale's t lereet in to elected property of the texPe er. <br />;I; <br />ere �ign a)1444: ?moi <br />h�� �_ f <br />Author' Signatu e <br />Revenue Senior Agent <br />Tae <br />Revenue Supervisor <br />Dte <br />12/07/2023 402-471-6067 <br />Data <br />Phone Number <br />1/24/2024 <br />Date <br />4lea-t11174 Rw a4010 Sapemeda. 444S -tela Rev 64013 <br />