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6)c-6 <br />L,.e „e {.:•. . <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2209000325-9 Pages: 1 <br />Debtor Name: GREG BUCHTA <br />Filing Date and Time: 09/08/2022 10:19 AM <br />Notice of State Tax Lien <br />202206547 <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 Ilen.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 />12609455 <br />Federal ID Number <br />813135771 <br />Lien Serial Number <br />12210816 <br />Lien Filed With: <br />Q Replant, ct Deeds ( cotimy clerk <br />Social Security Number <br />XXX -XX -9503 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Dale of Len <br />August 22, 2022 <br />Lien Type. <br />DCorrecmd <br />County <br />HALL <br />;LCA Original • Continuadon <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GREG BUICHTA <br />01131A B & B TREE LLC <br />4174 ARIZONA AVE <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 />Sales <br />01/01/2018 - 03/31/2018 <br />08/02/2022 <br />450.00 <br />90.00 <br />76.65 <br />.00 <br />616.65 <br />Saks <br />07/0112018 - 12/31/2019 <br />08:0212022 <br />3,160.00 <br />632.00 <br />396.90 <br />.00 <br />4,188.90 <br />Withholding <br />01/01/2019 - 12/31.2019 <br />08/02/2022 <br />9,140.00 <br />3,084.75 <br />1,042.22 <br />.00 <br />13,266.97 <br />Total <br />18,072.52 <br />I cerlily that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in oetermining the amount shown to be due. <br />and that the taxpayer has failed to pay the amount due atter demand. This Notice of State Tax Lien is an effective lien and serves to contnue the priority of <br />the State's interest in the affected property of lite taxpayer, <br />sign, acr (.L%.0 -, ' Z <br />here r Preparers <br />Revenue Agent. <br />Title <br />Revenue Supervisor <br />08/22/2022 402-471-5717 <br />Date Phone Number <br />Aulhodaod Signaler Title Date <br />4-494.1974 nw. a -pore Senera,rcNe 44949.1972 Rev. 0.0103 <br />