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202306539 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2312000425-1 Pages: 1 <br />Debtor Name: THE PARTY HUT LLC <br />Filing Date and Time: 12/15/2023 09:51 AM <br />Soy 99!9'7373.3 - <br />.2014 0353 ce <br />NebraetaDepenmerrc°t Notice of State Tax Lien <br />RE4IENUE <br />This Notice of Stab Tax. Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, <br />including penalties, interest, and costs, which are shown below, are due <br />from the taxpayer and remain unpaid after demand, These taxes are a <br />lien for all property located in the county and rights to properly owned by <br />the taxpayer or acquired before the expiration of this lien. This lien will <br />expire and become unenforceable 10 years after the date of recording <br />if no continuation statement is recorded on or prior to the expiration of <br />the previous Hen or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska m Number <br />11241519 <br />Federal ID <br />Lien Serial <br />11435219 <br />Lien Filed W tt <br />Register of Deeds DCounty Clerk <br />umber <br />45-4535711 <br />Social Security Numb <br />A(0 55/x! <br />Spouse's Social Security Nu <br />Dale of Lien <br />05/16/2014 <br />Lien Type <br />®Original QContinuation Q', Corrected <br />County <br />HALL <br />Nvosrsss <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />The Patty Hut LLC <br />920 N Diens Ave, Ste 2 <br />Grand island <br />NE <br />68803 <br />Tax <br />Program <br />Tex Period <br />Data of <br />Assessment <br />Tax <br />Penalty <br />interest <br />Costs <br />Total Due <br />Sales <br />03/01/2092 <br />08/31/2013 <br />11/27/2013 <br />2,946.91 <br />553.05 <br />238.97 <br />3,738.93 <br />Sales <br />11101 /2413 <br />11/30/2013 <br />02/03/2014 <br />0.00 <br />0.00 <br />1.13 <br />1.13 <br />Sales <br />12l01/2013 <br />12!31/2013 <br />03/03/2014 <br />0.00 <br />60.77 <br />1.55 <br />62.32 <br />Total <br />3,802.38 <br />1 certify that the Nebraska Department of Revenue has caroled with the laws of the State of Nebraska in the determining the amount shown <br />to be due. and that the taxpayer has failed to pay theamount due after demand. This Notice of State Tax Lien is an effective lien and serves <br />to continue the prior of the State's interest in ffected property of the taxpayer. <br />R Revenue Senior Agent 12/13/2023 <br />sign I+ s Signature Title Date <br />here ,t Revenue ►1Aaha e r <br />Authorized Signator- Title Oslo <br />4-404.1074 Rae. 0-2013 S4 5440* 4.494.7974 ft., 2.2002 <br />402 471-5727 <br />Phone Number <br />