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BRAA <br />Good Lire, GreatService, <br />6451441.10 OF11.41.1, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001340-1 Pages: 1 <br />Debtor Name: LIFE VERTICAL LLC <br />Filing Date and Time: 03/25/2022 11:35 AM <br />Notice of State Tax Lien <br />2022021811 <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:Riese 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 INTHIS SPACE <br />Nebenelta ID Number <br />14098806 <br />al <br />0 Number <br />99 <br />Serial Number <br />1 924 <br />FliedLeeet <br />Dee <br />R of pc.nty <br />Total Due <br />Withholding <br />of <br />February 2, 2022 <br />Lien T <br />0 Corrected <br />County <br />HALL <br />4°':El Contnialpon <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />LIFE VERTICAL LLC <br />410 SOUTH WEBB ROAD SUITE IA <br />GRAND ISLAND NE 68803 <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 />0401/2019 - 12/31/2019 <br />10/28/2021 <br />4,971.82 <br />.00 <br />438.05 <br />.00 <br />5409,87 <br />Withholding <br />070112021 - 09/30'2021 <br />11/10/2021 <br />2,114 60 <br />10533 <br />16,33 <br />.00 <br />2,236.66 <br />Withholding <br />10/01/202 - 1213112020 <br />, 1110(2021 <br />. 1 <br />11,512.66 <br />656.86 <br />487,70 <br />.00 <br />12,657.22 <br />Total <br />20,303.75 <br />sign <br />here <br />hO Department of Revenue has complied with the taws ol the State of Nebraska In detarn*ang the amount shown le be due, <br />ted to pay the amount tO rtoe demand. This Notice of State Tax Den Is an eflectrUe lien end Bones to donenkie the priority 01 <br />In the affeoted property of <br />A IF Revenue Agent 01/26/2022 402-471-5711 <br />Date <br />Revenue Senior Agent <br />Phone Number <br />02/02/2022 <br />Title Date <br />4-tat-tre Pee Esntti Supersedes 444iore Pau it2013 <br />