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LE BRA.&4<A-. <br />Good Life. Great Service. <br />HRONVIONT 00 WWI <br />202306213 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2311000768-4 Pages: 1 <br />Debtor Name: RESTAURANTE EL VILLALTA LLC <br />Filing Date and Time: 11/27/2023 10:26 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 denand.T ese taxes are a lien for alt 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 INTIM SPACE <br />Nebraska 0 Number <br />14823373 <br />Federal ID Number <br />871169884 <br />Lien Serial Number <br />12320642 <br />Lien Flied WIth: <br />Social Security Number <br />NO SSN <br />Bgoueak Social Security Number <br />NO SPOUSE SSN <br />i, f Register at Deeds ❑ counti, cis fs <br />Dale of Lien <br />November 20, 2023 <br />Lfan il'Pet <br />® original El Continuation ❑Corrected <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Name and atatang Address <br />RESTAURANTE EL VILLALTA LLC <br />418 W 4TH 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 />04/01/2022 - 06/30/2022 <br />11/01/2022 <br />.00 <br />.00 <br />1238 <br />.00 <br />12.38 <br />Sales <br />07/01/2022-09/30/2022 <br />06/10/2023 <br />1,395.00 <br />279.00 <br />70.15 <br />.00 <br />1,744.15 <br />Sales <br />10/01/2022 -12/31/2022 <br />06/10/2023 <br />1,395.00 <br />279.00 <br />58.08 <br />.00 <br />1,732.08 <br />Total <br />3,488.61 <br />I cattily that the Nebraska Department of Revenue has compiled with the laws of ate Slate of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien is an effective hen and serves to tonins the priority of <br />the Stales interest In the affected property of the taxpayer. <br />sign .AG,,..»..... 7,.. -„..' <br />here ► Preparerii ; Autw <br />nature <br />Revenue Senior Agent <br />Title <br />Revenue Supervisor <br />11/20/2023 402-471-5727 <br />Date <br />Tlae <br />Phone Number <br />11/20/2023 <br />Date <br />44544974 994 84015 SWmedee 49/0/914 Wv.5491$ <br />