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202505600 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2510000201-3 Pages: 1 <br />Debtor Name: CHARLES C ALLEN <br />Filing Date and Time: 10/06/2025 09:40 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />A- <br />G000 Lire. Greet See" r.n <br />Notice of State Tax Lien <br />This Notice of Stale 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 !1THIS SPACE <br />Nebraska ID Number <br />14471434 <br />Federal ID Number <br />NO FEIN <br />Lien SedN IIk, tber <br />12531547 <br />Lien Filed yNet: <br />® trimester of Dews D County Clerk <br />Social Security Number <br />NO SSN <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Data of Loon <br />June 9.2025 <br />Lien type <br />Carey <br />HALL <br />G1Original ElContinuationDcamctw <br />Business Name and Location Address <br />axpayer ream. a <br />CHARLES C ALLEN <br />512 10TH APT 4 <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 />Sales <br />01/01/2022- 12/31/2022 <br />11/22/2024 <br />300.00 <br />60.00 <br />39.74 <br />.00 <br />399.74 <br />Sales <br />01/01/2023 - 12/31/2023 <br />I1/22.2024 <br />300.00 <br />60.00 <br />24.74 <br />.00 <br />384.74 <br />Total <br />784.48 <br />sign <br />here <br />I candy that the Habra <br />and that the tateayer has <br />the State's interest In the <br />ens Signature <br />Autnonaed Signature <br />Department of Reneroo hes complied aith the lens of the Stale of Nebraska in determining the .mot rd shown to be due, <br />to pay the amount due afar demand. This Notice of Stale Tau Lien a an effective far and servos to continue the priority or <br />Qrbpe ol IM taa <br />Revenue Afent 06/02/2025 402-471-2518 <br />akuArk <br />idle <br />Revenue Manager <br />Date Phone Number <br />rate Date <br />4-404.1074 Pm 440te Suposedes 44149•I974 RIM a-2013 <br />