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NI ERR -AS -KA <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1912000311-6 Pages: 1 <br />Debtor Name: RCC ENTERPRISES LLC <br />Filing Date and Time: 12/09/2019 01:28 PM <br />Notice of State Tax Lien <br />201.9074 <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 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 ID Nurnuer <br />11579498 <br />Federal ID Number <br />462877924 <br />Lien Serial Number <br />11940005 <br />Lien Filed With: <br />Q Register ol Deeds [] County Cle•k <br />Social Security Number <br />Spouses Social Security Number <br />Date of Len <br />October 11,2019 <br />Lien Typo: <br />[s]Original0Continuation '.Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />RCC F:NT :RPRISES LLC <br />B1RTIJ/S AIR CONDITIONING & IIF/ATING SVC <br />PO BOX 1112 <br />GRAND ISLAND NE 68802.1 112 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs j Total Due <br />Sales <br />04/01/2017 - 03/31/2018 <br />01/15/2019 <br />320.00 <br />64.00 <br />19.17 <br />.001 403.17 <br />Sales <br />07/01/2017-06/3012018 <br />01/15/2019 <br />320.00 <br />64.00 <br />16.78 <br />.001 400.78 <br />Sales <br />10/01/2017 - 09/30/2018 <br />01/5/2019 152019 <br />320.00 <br />64.00 <br />14.36 <br />.00 <br />398.36 <br />Sales <br />01/01/2018 - 12/31/2018 <br />08/06/2019 <br />1,290.00 <br />258.00 <br />46.65 <br />.00 <br />1,594.65 <br />Withholding <br />01/01:2018-03/31/2018 <br />02/11/2019 <br />668.11 <br />298.53 <br />27.55 <br />.00 <br />994.19 <br />Total <br />3,791.15 <br />sign <br />here <br />I Oertily that the Nebraska Department of Revenue has complied with the laws or Ire State of Nebraska in determMYtg me amount shown to be cue, <br />end that the taxpayer has Palled to pay the amount die alter demand. This Notice of Slate Tax Lier is art effective fen and serves l0 continue the primly ol <br />the Slate's ins st trtjhe sleeted prgperty of ��07„ixoayer. l+ Revenue Agent 10/04/2019 402-471-6067 <br />Reparer's Si <br />MrtharieEd Signature <br />Title <br />Revenue Senior Agent <br />Cale Phc re Number <br />Title <br />/0 18 /7 <br />Date <br />4-494-t9h4 Rev. t!..70.8 Supee•4es 4.949-1974 rte,. 8-2Ct3 <br />