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Good Life. Great Service. <br />DEPARTMENT OP REVENUE <br />Notice of State Tax Lien <br />202601550 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603056510-0 <br />Date Filed: 3/13/2026 9:01 AM <br />C0522-8416 03/13/2026 8:18 <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 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 />als <br />0 <br />C. <br />m <br />fa <br />ts <br />m <br />t3' <br />N <br />Nebraska ID Number <br />37477978 <br />Federal ID Numbelb <br />NO FEIN <br />m <br />Lien Serial Number <br />12623967 <br />Lien Filed With: <br />a Register of Deeds <br />County Clerk <br />Social Security Number <br />XXX-XX-0230 <br />Spouse's Social Security Number <br />XXX-XX-0132 <br />fD <br />ti <br />n <br />Date of Lien <br />February 3, 2026 <br />Lien Type: <br />Continuation <br />County <br />HALL <br />(I) <br />rt <br />g' <br />n <br />Ki Original <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />KIMBERLY ANDERSON <br />ROBERT ANDERSON <br />427 KENNEDY DR <br />GRAND ISLAND NE 68803 <br />0 <br />t-h <br />Cl) <br />rt <br />w <br />rt <br />(D <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 />2024 <br />05/09/2025 <br />$2,253.00 <br />$130.15 <br />$161.52 <br />$2,544.67 <br />Total <br />$2,544.67 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien Is an effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here Preparer's Signature <br />Authorized Signature <br />auk <br />Revenue Manager 02/03/2026 002)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 02/03/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />