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Gond Lite, Green Service, <br />erOMHs*nt q„ItflsuE <br />202304065 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2308000278-2 Pages: 1 <br />Debtor Name: ERIC HARDEKOPF <br />Filing Date and Time: 08/09/2023 10:04 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 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 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 IN THIS SPACE <br />Nebraska ID Number <br />12871508 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12053672 <br />Lien Filed N91tt: <br />Social Security Number <br />XXX -XX -3911 <br />Spouse a Social Security Number <br />NO SPOUSE SSN <br />f Register of Deaeda ■ County Clerk <br />Dare of Lien <br />May 14, 2020 <br />Lien Type: <br />❑corrected <br />County <br />HALL <br />F:1 Original 0Contlneadon <br />uslness Name and Location Address <br />Taxpayer Name and Mailing Address <br />ERIC HARDEKOPF <br />SWEET AUTO DETAIL <br />119 E 20TH ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Saks <br />01/01/2013 - 12/31/2013 <br />02/01/2018 <br />1,805.09 <br />194.92 <br />213.81 <br />.00 <br />2,213.82 <br />Sales <br />01/01/2014- 12/31/2014 <br />02/01/2018 <br />713.56 <br />71.39 <br />133.39 <br />.00 <br />918.34 <br />Sales <br />01/01/2015 - 12/31/2015 <br />02/01/2018 <br />105.92 <br />25.00 <br />16.62 <br />.00 <br />147.54 <br />Total <br />3.279.70 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining tre amount shown to be due. <br />and that the taxpayer has tailed to pay the amount due star demand. Thie Notice of Stara Tax Lien Is an eaective Sen and sere to continue the priority of <br />Me Shale's Isle assn inn� <br />the affected property of the taxpayer. <br />444. <br />Prepare/e SI w Title Date Phone Number <br />•+-'"� <br />Revenue Senior Agent 8/7/2023 <br />l <br />Autlwri Signature Title Data <br />4-494197/ Reg. 9.205 Sugewedee 4040.11774 Reg 84013 <br />Revenue Senior Agent 05/01/2020 402-471-5707 <br />