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3/16/2026 3:38:39 PM
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3/16/2026 3:38:39 PM
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202601599
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202601599 <br />Nebraska Secretary of State <br />Good Life. Great Service. <br />DEPARTMENT OF REVENUE <br />Notice of State Tax Lien <br />-FILED- <br />File #: 2603057458-1 <br />Date Filed: 3/16/2026 11:18 AM <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 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 DO NOT WRITE IN THIS SPACE <br />( <br />1 <br />I <br />i. <br />I <br />I <br />Nebraska ID Number <br />33830223 <br />Federal ID Number <br />NO FEIN <br />( <br />Lien Serial Number <br />12623236 <br />Lien Filed With: <br />► 4 Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX XX-0132 <br />Spouse's Social Security Number <br />XXX-XX-0230 <br />I <br />Date of Lien <br />January 28, 2026 <br />Lien Type: <br />❑ Corrected <br />County <br />HALL <br />( <br />t <br />s <br />1 Original ❑ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ROBERT L ANDERSON <br />KIMBERLY A ANDERSON <br />427 KENNEDY DR <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 />2021 <br />06/25/2024 <br />$.00 <br />$.00 <br />$137.10 <br />$137.10 <br />Individual <br />2023 <br />05/07/2024 <br />$2,242.00 <br />$117.10 <br />$282.25 <br />$2,641.35 <br />Total <br />$2,778.45 <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 States interest in the affected property of the taxpayer. <br />sign <br />here Preparer's Signature <br />Authorized Signature <br />Iviahi <br />Revenue Manager 01/28/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/28/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4.949-1974 Rev. 8-2013 <br />
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