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Good Lite. Great Service. <br />202203331. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2205000273-1 <br />Debtor Name: GREG A BUCHTA <br />Filing Date and Time: 05/05/2022 08:49 AM <br />Pages: 1 <br />Notice of State Tax Uen <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 rernain <br />unpaid after demand.These taxes area 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 Ilen.Thls lien win 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 Gen or continuation statement. <br />PLEASE DO NOT WRITE INTIM SPACE <br />Nebraska ID Number <br />34230491 <br />Federal ID Number <br />NO FEIN <br />Uen Serial Number <br />12297499 <br />Lien Faedl <br />® Register orMade ❑CcuntyC1e <br />Soci01 Security Number <br />XM -XX -9503 <br />Sp un's Social Beauty Number <br />NO SPOUSE SSN <br />Date of tion <br />April 20, 2022 <br />Uen vow <br />©Corrected <br />County <br />HALL <br />® Original ■ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GREG A BUCHTA <br />417 S LOGAN <br />GRAND ISLAND NE 88801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2015 <br />10/17/2021 <br />$5,518.00 <br />$1,379.00 <br />$1,216.54 <br />$8,111.54 <br />Individual <br />20016 <br />10/05/2021 <br />$5,969.00 <br />$1,482.25 <br />$1,137.38 <br />$8,698.61 <br />Total <br />$16,710.17 <br />i aerrty brat the Nebraska Department of Revenue has compiled w(h the laws of the State al Nebraska ht determining the amount shown 10 be dee. <br />and that the taxpayer has fated to pay the amount due atter dema9d.71ffa Notice of Statelbx Lien Is an effective ken and serves to continue the Morey of <br />the States interest in the affected property Mahe taxpayer. <br />sign44 Leal <br />here r PrepereYesgnature <br />,Va..rJp <br />Authorized Signature <br />Revenue Agertt 04/20/2022 03081832-1201 <br />Title Date Phone Number <br />Revenue Supervisor 04/20/2022 <br />Tata Date <br />4404 IN4 flaw B.2018 Supersedes 44411497a Rea 3.201.3 <br />