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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />10/01 /2014 - 12/31/2014 <br />08/01/2015 <br />1,275.00 <br />446.25 <br />23.79 <br />-00 <br />1,745.04 <br />Withholding <br />07/01/2014 - 09/30/2014 <br />08/01/2015 <br />1,500.00 <br />525.00 <br />39.33 <br />.00 <br />2,064.33 <br />Total <br />3,809.37 <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 Iien.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 WAITS INTHIS SPACE <br />Nebraska 10 Number <br />11305312 <br />Federal 10 Number <br />454762258 <br />Lien Serial Number <br />11594315 <br />Len Piled With <br />Social Security Number <br />Spouse's Social Security Number <br />el Register of Dacds El County Clerk <br />Dale of Lien <br />September 15, 2015 <br />Lien Type: <br />Dcorrected <br />County . <br />HALL <br />1 <br />LA Original EjContinuation <br />` - p. 24. 21:015 3:26FM NE 'Secretary of Statfi UCC <br />2015665 ".: 3 <br />Nenraslte Department of <br />REVENUE <br />Business Name and Location Address <br />sign <br />Prepar <br />ra Signal e / / <br />u " jil t rized Signature . .. Title <br />Notice of State Tax Lien <br />NE <br />01 <br />2 P, 2/4 <br />St a John A GA14 - UCC STL <br />9915761268 -e Pas <br />SWEET ANGELS CHILD LEARNING GE <br />Filed: 09/24i2015 01:40 PM <br />axpayer Name an wfaiu Auaress <br />SWEET ANGELS CHILD LEARNING CENTER LLC <br />1019 WEST H ST <br />HASTINGS NE 68901 <br />I certify that the Nebraska Department of Revenue has Complied with the laws of the Slale'oT Nebraslle 1n determining the amount shown to be due, <br />and that the taXpayer has tailed to pay the amount due. ader demand, Thls Notice of Stale Tax Lien iS an effective Hen and serves to continue the priority of <br />the St ie i iterest in the affected pro T the taxpayer. <br />) Revenue Agent 09/22/2015 <br />Tilfe Date <br />Revenue Senior Agent <br />402-471 -6067 <br />4.494.1976 Rev. a -2013 Supersedes 4-940-1974 Rev. 2 -2002 <br />fvfi <br />