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Tax Program <br />Tax period <br />Data of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />01/0112013 - 0313112013 <br />12109/2013 <br />.00 <br />420.00 <br />9739 <br />_00 <br />457.39 <br />Withholding <br />04/01/2013 - 06/30!2013 <br />12/09/2013 <br />383.93 <br />300.00 <br />35.19 <br />.00 <br />719.12 <br />Withholding <br />01/01/2014 - 03/31/2014 <br />10/05/2014 <br />1,500.00 <br />450.00 <br />33.77 <br />.00 <br />1,983.77 <br />Withholding <br />10/01/2013 - 12/31/2013 <br />10/05/2014 <br />1,500.00 <br />525.00 <br />44.75 <br />.00 <br />2,069.75 <br />Withholding <br />04/01/2014 - (16/30/2014 <br />10/05/2014 <br />1,500.00 <br />225.00 <br />22.43 <br />.00 <br />1,747.43 <br />Withholding <br />07/01/2013 - 09/30/2013 <br />10/05/2014 <br />1,500.00 <br />525.00 <br />56 <br />.00 <br />2,081_09 <br />Total <br />9,058.5 <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 />whioh are showy* below, are due from the taxpaysr and remain <br />unpaid after demand_These taxes area lien for all property located <br />it the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lten.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 WHITE IN THIS SPACE <br />Nom*. 10 Number <br />11305312 <br />Federal ID Number <br />454762258 <br />Lien Serial Number <br />11591315 <br />Lien Flied VMI: <br />Social SeCtxty Number <br />Spouses social Security Number <br />1.`7 Register of Deeds ■ County Clerk <br />Date of Lien <br />January 29, 2015 <br />Lien Type: <br />County <br />PULL <br />kt Original ❑ConSnuallon <br />• Corrected <br />re.e,.sre Depenmen[ or <br />REVENUE <br />sign <br />here <br />Feb, 11. 2015 2:33PM NE Secretary of State — NCC No, 9111 P. 2 <br />auaineSe Name and Location Address <br />I ceniy that the Nebraska Denaruaer% of Revenue has compiled with the laws of the Slate of Nebraska Yi determining the amount shown q be due, <br />and that . ayer has failed to pay are amount due after demand.Thie Notice of State Tear Lien is en elfeetioe ten and 9erven to contaruo the warily of <br />the 9 rest in the effected ..... of ex , taxpayer. <br />Notice of State Tax Lien <br />20150088 <br />Reventiq Anent <br />Tiue <br />Revenue Senior Agent <br />NE See N Unit John N Gal• - JLC 5TL <br />9915748532-4 Pus; 1 <br />�� pMGEL3 CHILD LEARNING CE <br />piletI- 52111/2016 12:44 PR <br />Taxpayer Name and Mailing Address <br />SWEET ANGELS CHILD LEARNING CENTER LLC <br />413 S CY5 R.RY ST Q3 <br />GRAND ISLA.NI] NE 68801 <br />02/04/2015 402 -471 -6067 <br />Dale Phone Number <br />Data <br />4494.1974 Ree. 9.2013 sleetdedei 4401974 Rea 2-2002 <br />