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(; <br />Loud t.-tu_Grc. tSe,voc <br />202010059 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012000925-9 Pages: 1 <br />Debtor Name: CORNERSTONE TOWER SERVICE INC <br />Filing Date and Time: 12/22/2020 10:08 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 Nen 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 Iten or continuation statement. <br />PLEASE 00 NOT WRITE IN THIS SPACE <br />Nebraska. ID Number <br />7855796 <br />Federal ID Number <br />911829752 <br />Lien Serial Number <br />12066700 <br />Lien Filed With: <br />Social Security Number <br />Spouses Social Secunty Number <br />Ri Register of Deeds ❑ County Clerk <br />Dale of Lien <br />December 15, 2020 <br />Lien Type: <br />❑Corrected <br />County <br />HALL <br />4 Original El Continuation <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />CORNERSTONE TOWER SERVICE INC <br />PO BOX 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 />10/01/2019 - 06/30/2020 <br />10/06/2020 <br />19,965.00 <br />5,324.00 <br />624.49 <br />.00 <br />25,913.49 <br />Total <br />25,913.49 <br />sign <br />here <br />I certify Mat the Nebraska Department of Revenue has complied vnth the laws of the Stale of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien Is an effedwe ken and serves lo continue the priority of <br />the States i es* inthe aleected property of the taxpayer. <br />Revenue Agent 12/15/2020 402-471-5704 <br />Preparer's Signal /t .r Title Dale Plgne Number <br />A1:741^ Revenue Senior Agent 12/15/2020 <br />Authorized Signature Title Dale <br />4494.1974 Rev. 04010 9000944194 4449-1974 Rw. 5-2013 <br />