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dh <br />ale. <br />.•••11FOI OF IN VeNipt <br />202000559 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2001001369-0 Pages: 1 <br />Debtor Name: QUALITY CUT LAWN CARE INC <br />Filing Date and Time: 01/24/2020 10:29 AM <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, 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 />Noteasaa ID Number <br />12982024 <br />Federal ID Number <br />811574740 <br />Len Serial Number <br />11944767 <br />Lien Filed With <br />Social Security Number <br />Spouses Social Security Number <br />I Register of Deeds [] County Clerk <br />Dale el Lier <br />Decemher 4, 2019 <br />Lien Typo- <br />El Original f Continuation CCorrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />QUALITY CUT LAWN CARE INC <br />1618 20TH STREET P O BOX 146 <br />CENTRAL CITY NE 68826 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />07/01/2018 - 09/30'2018 <br />05/052019 <br />962.62 <br />333.34 <br />54.71 <br />.00 <br />1,350.67 <br />Withholding <br />10/01/2018 - 12/31/2018 <br />05/05.2019 <br />1.180.00 <br />236.00 <br />49.62 <br />.00 <br />1,465.62 <br />Withholding <br />01/01/2019 - 06/30/2019 <br />11/2312019 <br />980.00 <br />269.5(1 <br />23.09 <br />.00 <br />1,272,59 <br />Total <br />4,088.88 <br />I certify that the Nebraska Department of Revenue has complied with the laws o` the State of Nebraska in determining the amount shown to be duo. <br />arid that the taxpayer has failed to pay the amount due atter demand. This Notice of State Tax Lion is an effective lien and serves to continuo the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here RrcparersSr <br />.it hrr., , <br />Revenue Senior .Agent <br />11/27/2019 402-471-5709 <br />� <br />� �Title Date Phone Number <br />kaltRAPZ4L) Revenue Senior Agent I I i ti'J U <br />Date <br />4-404'9/4 ver, 8-7ote Su:crse es 4-949-1914 Pe, 8.2013 <br />AulhonZed Si gnat / Tile <br />