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Good Life. Great Serrree. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2409000655-5 Pages: 1 <br />Debtor Name: BRYAN R PHELPS <br />Filing Date and Time: 09/27/2024 09:23 AM <br />Notice of State Tax Lien <br />202404777 <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 area 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 Gd NOT WRITE MINIS SPACE <br />Nebraska ID Number <br />26961660 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12485194 <br />Lien Flied With: <br />® Registr'oi Deeds Ocounty clerk <br />Soeiel Secudy Number <br />XXX -XX -0870 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />September 11, 2024 <br />Lien Type: <br />DCorrected <br />County <br />HALL <br />I;t final 0Conriwation <br />Business Name and Location Address <br />BRYAN R PHELPS <br />1110 PLEASANT VIEW <br />GRAND ISLAND NE 88801 <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 />2017. <br />06/23/2023 <br />$2,713.00 <br />$678.25 <br />$722.85 <br />$4,114.10 <br />Total <br />$4,114.10 <br />I certify that fie Nebraska Deparment of Revenue has complied with the laws al the State of NOMaska In deter lninng the amours shown to be due, <br />and that the tamer has hailed to pay the amount due after demand. Thin Notice of State Tax Lien Is an effective Oen and stns to continue the priorly of <br />the State's interest In the a5flected property of the taxpayer: <br />Sign' At' Revenue Anent__ _ 0 /11/2024 (308)632-1208 <br />here r Poeparerk Signstw. nae Date Phone Number <br />/(J 1j/4. Revenue Supervisor 09/11/2024 <br />Authorised Signature Ts. Dale <br />4.4a44e74 Pau a.tota Supermen 4449,1074 Men $2013 <br />