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201906247
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10/8/2019 4:49:45 PM
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10/8/2019 4:49:05 PM
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DEEDS
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201906247
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Good <br />NE Sec of State - Robert R. Evnen <br />Filing Document #: 1910000442-7 Pages: 1 <br />Debtor Name: B & B TREE. LLC <br />Filing Date and Time: 10/08/2019 09:34 AM <br />Notice of State Tax Lien <br />201906247 <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 ere 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 />Nebraska I) Number <br />12609455 <br />Federal D Number <br />813135771 <br />Lien Servet Number <br />11939212 <br />Lien Filed With: <br />t3egister of Deeds © Coolly Clerk <br />Social Security Number <br />Spouses Social Security Number <br />Date of Lien <br />October 3, 2019 <br />Lien Type: <br />07/01/2018 - 12/31/2018 <br />07121/2019 <br />County <br />HALL <br />4 Oritpnat • Continuation <br />■ Corrected <br />Business Name and Location Address <br />axpayer Name <br />B & B TREE LLC <br />D/R/A TOM'S TREE SERVICE <br />1803 EAST 4TI1 ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />v <br />Tax Period <br />01/0112018 - 03/3112018 <br />Date of <br />Assessment <br />07/21/2019 <br />Tax <br />450.00 <br />Penalty <br />90.00 <br />Interest <br />26.44 <br />Costs <br />.00 <br />Total Due <br />566.44 <br />Sales <br />Sales <br />07/01/2018 - 12/31/2018 <br />07121/2019 <br />900.00 <br />180.00 <br />35.45 <br />.00 <br />1,115.45 <br />Withholding <br />01/01/2017 - 03/31"1017 <br />05/10/2017 <br />.00 <br />.00 <br />19.05 <br />.00 <br />19.05 <br />Withholding <br />04//01/2017-06/30/2017 <br />08/10/2017 <br />.00 <br />299.62 <br />106.30 <br />.00 <br />405.92 <br />Withholding <br />07101/2017 - 09/30/2017 <br />11:13/2017 <br />.00 <br />239.00 <br />.29 <br />.00 <br />239.29 <br />Withholding <br />10/01/2017 - 12/31/2017 <br />02/27/2019 <br />3,006.80 <br />751.70 <br />196.21 <br />.00 <br />3,954.71 <br />Withholding <br />01I01/2018 - 06/330/2018 <br />02/2712019 <br />1,755.68 <br />438.92 <br />95.58 <br />.00 <br />2,290.18 <br />Withholding <br />07101 /2018 - 09/30/2018 <br />11/13/2018 <br />617.07 <br />30.85 <br />26.44 <br />.00 <br />674.36 <br />Withholding <br />10/01/2018 -12131/2018 <br />02/27/2019 <br />437.19 <br />21.86 <br />14.70 <br />.00 <br />473.75 <br />Total <br />9,739.15 <br />I comfy Mat the Nebraska Department of Revenue has complied with the taws of the Slate of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has tailed to pay the amount due atter demand. This Notice of State Tea Lien is an effective lien arid serves to continue the pr onty of <br />the States interest in the affected property of the taxpayer. <br />sign �2c�?jr,a--Ji <br />here Preparers svnatu <br />4n.7A4 _ <br />• Signature <br />Revenue Agent <br />09/26/2019 402-471-5717 <br />Title <br />Revenue Senior Agent <br />Date Phone Number <br />16•-.$-I <br />Date <br />4481-'974 Fer. &20'8 Superseules 4.949.1974 Rev.. 8.2013 <br />
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