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NE Sec of State - Robert H. Evnen <br />Filing Document #: 1909001365-0 Pages: 1 <br />Debtor Name: WESTERAY ENTERPRISES INC <br />Filing Date and Time: 09/27/2019 11:20 AM <br />Notice of State Tax Lien <br />201905990 <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 staterrmnt 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 />Nebraska 10 Number <br />11026251 <br />Federal 0 Number <br />452277090 <br />Lion Serial Number <br />11935043 <br />LenFeed With' <br />L3.s /'ler rrt Deeds 0 Candy Clerk <br />Social Security Number <br />Spran,riS Social Security Number <br />Oak* of Lien <br />August 13, 2019 <br />Lien Type <br />X original ❑ Contoruation Q Corrected <br />County <br />HALL .. <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />WESTERBY ENTERPRJSES INC <br />3620 W OLD MWY 30 <br />GRAND ISLAND NE 68803 <br />Tax Program Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales 112101/2018 - 12131/2018 <br />01/29/2019 .00 <br />25.00 <br />.65 <br />20.00 <br />45.65 <br />Sales 101/01/2019 - 01/31/2019 <br />03/0112019 <br />.00 <br />25.00 <br />2.00 <br />20.00 <br />47.00 <br />Sales 104/01/2019 - 04130/2019 <br />06/14/2019 <br />521.60 <br />.00 <br />5.32 <br />20.00 <br />546.92 <br />Withholding 501/01/2018-03/31/2018 <br />09/26/2018 <br />906.31 <br />272.33 <br />53.43 <br />.00 <br />1,232.07 <br />Withholding j 04/01/2018 - 06/30/2018 <br />09/26/2018 <br />544.66 <br />54.47 <br />23.63 <br />.00 <br />622.76 <br />Withholding 107/01/2018-09/30/2018 <br />11/13/2018 <br />816.99 <br />40.85 <br />29.26 <br />.00 <br />887.10 <br />Withholding 10/01/2018 - 12/31 /2018 <br />02/11/2019 <br />.00 <br />40.85 <br />9.95 <br />.00 <br />50.80 <br />Total <br />3,432.30 <br />sign <br />here <br />i certify that the Ndbraska Oc-pariment of Revenue hes complied with Oro laws of the State of Nebraska m determmatg the amount shown to be due. <br />and teat tie taxpayer has fa w k> pay the amount due alter demand. This Noticed State lax Lam is an effective lien and serves to continue the priority of <br />the State's interest in the /teemed property of lIce taxpayer. <br />Revenue Agent 08/0612019 402-471-5723 <br />Title Date Phone Number <br />Revenue Senior Agent 9 ;,fig %1 <br />Tilts Date <br />4-404-tl17e rce v 5 -XTP. ^..w,tsnrradee: 4 49-1.074 Her. 64011 <br />