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F4EB f - <br />.ocX, _Ire. Se'vrce. <br />0....,..,.,».10..0 <br />202000651 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2001001471-4 Pages: 1 <br />Debtor Name: CORNERSTONE TOWER SERVICE INC <br />Filing Date and Time: 01/28/2020 10:07 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Uen 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 Iien.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 Number <br />7855796 <br />Federal ID Number <br />911829752 <br />Lien Serial Number <br />11946048 <br />Date of hen <br />January 7, 2020 <br />Lien Hied With: <br />Q Register of Deeds <br />County Cler <br />Social Security Number Spouse's Social Security Number <br />Lien Type: <br />,Q" Original <br />Ei Continuation ❑ Corrocse° <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />CORNERSTONE TOWER SERVICE INC <br />PO 11OX 5222 <br />GRAND ISLAND NE 68802 <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 />10/01/2016 - 12/31,2016 <br />03.'28/2017 <br />10.76 <br />.001 <br />4.55 <br />.00 <br />15.31 <br />Withholding <br />10'0112017- 12/1/2017 <br />0112/2018 <br />.00 <br />.00 <br />4.21 <br />.00 <br />4.21 <br />Withholding <br />01/01/2018 - 031312018 <br />05:10/2018 <br />.00 <br />127.74 <br />48.65 <br />20.00 <br />196.39 <br />W ithholding <br />04/0112018 - 06/30/2018 <br />08110/2018 <br />.00 <br />216.58 <br />44.66 <br />.00 <br />261.24 <br />Withholding <br />07,0112018 - 09/30:2018 <br />11;13/2018 <br />580.72 <br />.00 <br />36.63 <br />100.00 <br />717.35 <br />Withholding <br />1001/2018- 12/31)2018 <br />02/11/2019 <br />2,686.08 <br />134.30 <br />125.50 <br />.00 <br />2,945.88 <br />Total <br />4,140.38 <br />1 certify that the Nebraska Department of Revenue has comnfed with the taws of the State of Nebraska in determining the amount stow[ to he due. <br />and that the taxpayer has faded to pay the amours due atter demand. TM s Notice 0/ Stare Tax Lien is an ertrxtive Sun and serves to contirxre the priority of <br />Inc States :merest in ..,Itg..Affected proQprty o1 the taxpayer. <br />sign <br />here�s ) <br />AB, <br />i <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />12/31/2019 402471-5704 <br />Dale Phone Number <br />i -f93 -20 <br />Authorized Signature Tele <br />Date <br />4.404-1974 Rov. E-7018 Supersedes 4-349.1974 neve-Ma <br />