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F b.28.2E19 2:28AM NE Secretary cf Stag - UCC <br />!EK 5 <br />c<oad Lire, Great Somas, <br />2* 14990 1-F1 7 0 <br />NE Sec of Slate . RobertH. Eynon <br />Filing Document #: 1902002106-3 Pages: 1 <br />Debtor Name RATILIWN Ben*, SON ENTERPRISES INC <br />p l a Mit bid tow 02011/301910:34 AMk <br />Notice of State Tax Lien <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, inlereat, and costs, <br />which am shown below,are due from the taxpayer and remain <br />unpaid after demand,Theee 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 !his Ifen.Thia 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 alinement. <br />PLEASE DO NOT WRITE 1NTH'S SPACE <br />, <br />NebreoIa ID Number <br />$675856 <br />Fodorel ID Number <br />470838173 <br />Lon SOW Number <br />119232811 <br />lion Filed Whitt <br />NIneateleraDeltds El County CIO& <br />6eoG1 Samrlly Numlwr <br />Spovxer Social Seolatty Number <br />Data of lien <br />February 13, 2019 <br />Llaniypor. <br />❑CurrocreC <br />Calmly <br />HALL <br />N Orl bf ■ conlinuellnrt <br />Business Name and Location Address <br />taxpayer Name and Meiling Addrea6 <br />RATH!EN 8; SON ENTERPBJS.ES INC <br />1504 W 4T11 ST <br />GLAND ISLAND NE 68801 <br />Tar Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />06/012017 - 06/30.12017 <br />09101/2017 <br />-00 <br />AO <br />.55 <br />.00 <br />J5 <br />Sales <br />08/01/2017-0328/2018 <br />05/01/2018 <br />3,862.06 <br />453.84 <br />153.46 <br />.00 <br />4,46936 <br />Saks <br />03/0112018.11/30/2018 <br />01/02/2019 <br />4,681.83 <br />405,30 <br />74.65 <br />.00 <br />5,161.78 <br />Withholding <br />01/01/2017 - 03/31/2017 <br />06110122017 <br />.00 <br />63.35 <br />5.86 <br />.00 <br />69.21 <br />Withholdtng <br />04'01/2017-0613012017 <br />08/10/2017 <br />627A4 <br />33.80 <br />30.78 <br />AO <br />692.02 <br />Withholding. <br />10/01/2017 - 12/31/2017 <br />02.12/2018 <br />566.71 <br />28.34 <br />18.95 <br />.00 <br />614.00 <br />Withholding <br />01/01/2018 - 03/31/2018 <br />05/10/2013 <br />549.94 <br />27.50 <br />14.37 <br />.00 <br />591.81 <br />Withholding <br />04/01/2018 - 06/30/2018 <br />0811012018 <br />611._78 <br />50.59 <br />11.39 <br />.00 <br />653.76 <br />Withholding <br />07/01/2018 - 09130/2018 <br />11/13/2018 <br />527.83 <br />26.39 <br />5.82 <br />.00 <br />560-04 <br />Total <br />12,812.53 <br />I certify !hot the NetxeJkA Ospbnment el Hewerua hoe complier; wan the limo of the Sime of Neb.ao,o in d0lerrrane1Q It* ameuni $lc n to to due. <br />and Mal the lagalyei her eiod ID ow Itis e , oUnl Oda altar daeand:M l Notice of Sate Tex Lien In an i didGINe Ilan evict i0ne0 to continue lie /sleety et <br />the Stelae Interim In the &Ieetdd property bl rho laxpayor. <br />Signp , ,Q�iy>5j r� ReventkeSenior Agon1 _ 023062019 402-471-5709 <br />here r % Plcoa reef Tele bele Mona Number <br />Revenue SeniorA;ent -2 iks//b/, <br />Uttar' t{s oro Tole <br />Dale <br />.4.491-1874 Flaw /4028 Sgni..do500 4944.1874 ilea. 62013 <br />