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N.15-13#44644A- <br />Good <br />r1 EB 4644A-. <br />Good Lire. Great Service. <br />04.111.1.10 01. 41.01Vir <br />3061 80 <br />Pages: 1 <br />NE Sec or State - Robert B. Evnen <br />Filing Document 4: 2311000710-7 <br />Debtor Name: EL NATIVO TACOS LLC <br />Filing Date and Time: 11/22/2023 09:27 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 gated <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 want IN THIS SPACE <br />Nebraska ID Number <br />15021157 <br />Federal ID Number <br />883122022 <br />Lien Serial Number <br />12320490 <br />Lien Filed Mx <br />®Register of Deeds ❑County clerk <br />Social Security Nunther <br />NO SSN <br />Spouse's Social Sec urdy Number <br />NO SPOUSE SSN <br />Date of Lien <br />November 20, 2023 <br />Lien'hype: <br />® Original ❑Conhnuatlen 0 corroded <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />EL NATIVO TACOS LLC <br />809 S OAK 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 />07/01/2022 - 03/31/2023 <br />07/16/2023 <br />900.00 <br />180.00 <br />3634 <br />.00 <br />1,116.34 <br />Total <br />1,1 16.34 <br />sign <br />here <br />certify Iia=. Nebraska Department of Revenue hes complied with the laws rt the State of Nebraska in determining the amount shown to be due. <br />and t : - : , faded to pay the amount due Mer demand. This Notice of State Tax Lien is en effective lien end serves to continue the priority of <br />the affected property of the taxpayer. <br />Revenue Agent <br />11/13/2023 402-595-2549 <br />Title Date Phone Number <br />Revenue Supervisor 11/13/2023 <br />Tire <br />Date <br />4.494.1174 944 94019 Sup64r0de9 4449,974 Rev.5.2019 <br />