Laserfiche WebLink
qE8RA5KA- <br />Good id, Great Service. <br />04.00.!wt NVl*n <br />2023061 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2311000581-7 Pages: 1 <br />Debtor Name: PHANTOM CUSTOMS <br />Filing Date and Time: 11/20/2023 09:32 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 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.Thia 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 />15532291 <br />Federal <br />822702145 <br />0 Number <br />her Serial Number <br />12320523 <br />Uen Flied With: <br />Social Security Number <br />NO SSN <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Register of Deeds 0 County Clerk <br />Date et Lien <br />November 14, 2023 <br />Lien Type. <br />0 Corrected <br />County <br />HALL <br />I:4 Original ■ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />PHANTOM CUSTOMS <br />1919 S LOCUST 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 />Sales <br />07/01/2021 -06/30/2023 <br />08/01/2023 <br />30,982.94 <br />2,914.91 <br />1,618.95 <br />.00 <br />35,516.80 <br />Sales <br />07/0112023 - 07/31/2023 <br />09/01/2023 <br />914.12 <br />91.41 <br />10.77 <br />.00 <br />1,016.30 <br />Sales <br />08/01/2023 - 08/31/2023 <br />10/02/2023 <br />586.31 <br />58.63 <br />4.42 <br />.00 <br />649.36 <br />Sales <br />09/01/2023 - 09/30/2023 <br />11/01/2023 <br />1,095.11 <br />109.51 <br />3.75 <br />.00 <br />1,208.37 <br />Waste Reduction <br />07/01/2022 - 06/30/2023 <br />10/20/2023 <br />25.00 <br />.00 <br />.15 <br />.00 <br />25.15 <br />Withholding <br />07/01/2021 -06/30/2023 <br />08/10/2023 <br />5,307.35 <br />1,284.00 <br />284.75 <br />.00 <br />6,876.10 <br />Withholding <br />07/01/2023-09/30/2023 <br />11/13/2023 <br />387.12 <br />19.36 <br />1.24 <br />.00 <br />407.72 <br />Total <br />45,699.80 <br />I certify that the Nebraska Department of Revenue has complied with the taws of me State of Nebraska in determining the amount shown to be due. <br />and that the taxpayer hes failed to pay the amount due alter demand. This Notice of State Tax Lien is an effective fen and serves to continue the priority of <br />the State's int el In the alleygd property of the taxpayer. <br />sign <br />hereertaare <br />of 7 <br />Revenue Senior Agent 11/14/2023 402-595-2247 <br />Ti Date <br />Senior Agent tleDate �'J/ 3 <br />Atthonred Signature Title <br />Date <br />4.454.1574 Rev. awe Supersedes 4.845.1974 Rev. 8+2813 <br />