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Good Life. Great Service. <br />SOARTMENTorfIVV JI <br />Notice of State Tax Lien <br />20260 171 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604072816-9 <br />Date Filed: 4/9/2026 1:09 PM <br />C0526-1604 04/09/2026 8:14 <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 />m <br />0 <br />al <br />c <br />co <br />0 <br />0 <br />z <br />m <br />0 <br />H <br />a <br />Nebraska ID Number <br />92481728 <br />Federal ID Number <br />NO FEIN <br />Su <br />V. <br />Lien Serial Number <br />12621090 <br />Lien Filed With: <br />►;1 Register of Deeds <br />Social Security Number <br />XXX-XX-5659 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />as <br />n <br />n <br />■County Clerk <br />Date of Lien <br />January 13, 2026 <br />Lien Type: <br />0 Corrected <br />County <br />HALL <br />r9 <br />rt <br />a <br />n <br />1, Original <br />■ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />TANNER M CRUSE <br />807 WEST C <br />HASTINGS NE 68901 <br />0 <br />f-h <br />m <br />rt <br />m <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 />05/14/2025 <br />$1,448.00 <br />$362.00 <br />$295.91 <br />$2,105.91 <br />Total <br />$2,105.91 <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 Preparers Signature <br />Authorized Signature <br />Revenue Manager 01/13/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/13/2026 <br />Title <br />Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />