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202400349
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1/24/2024 3:14:17 PM
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1/24/2024 3:14:17 PM
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202400349
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Good Lee. Greet Service. <br />err neer aMelee <br />202400349 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2401000688-1 Pages: I <br />Debtor Name: DOUBLE LINE AUTO REPAIR LLC <br />Filing Date and Time: 01/24/2024 09:05 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Len 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, ere due from the taxpayer and remain <br />unpaid after demsnd.Thsse taxes are a lien for an property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Ilen.This lien will expire end <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 />1400/519 <br />Federal ill WOK <br />852213851 <br />Lien Serial Number <br />12321209 <br />Len Fled WM1: <br />ga Register of Deeds Q County CUR <br />Soviet Security Number <br />NO SSN <br />Spouse's Social Smutty Number <br />NO SPOUSE SSN <br />Dale of Lion <br />January 4, 2024 <br />Lien Type: <br />►;f <br />Or <br />❑Continuation Dcawdsd <br />Cower <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DOUBLE LINE AUTO REPAIR LLC <br />3700 WEST 2ND STREET <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 />12/01/2021 -12/3112021 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />243.03 <br />.00 <br />3,939.03 <br />Sales <br />01/01/2022.01/31/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />235.18 <br />.00 <br />3,931.18 <br />Sales <br />02/01/2022 - 02/28/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />228.09 <br />.00 <br />3,924.09 <br />Sales <br />03/01/2022 - 03/31/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />220.25 <br />.00 <br />3,91625 <br />Sales <br />04/01/2022 - 04/30/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />234.06 <br />.00 <br />4,302.06 <br />Sales <br />05/01/2022 - 05/31/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />225A3 <br />.00 <br />4,293.43' <br />Sales <br />06/01/2022 - 06/30/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />217.07 <br />.00 <br />4,285.07 <br />Saks <br />07/01/2022 - 07/31/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />208.43 <br />.00 <br />4,276.43 <br />Sales <br />08/01/2022 - 08/31!2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />199.79 <br />.00 <br />4,267.79 <br />Sales <br />09/01/2022-09/30/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />191.43 <br />.00 <br />4,259.43 <br />Sales <br />10/01/2022 -10/31/2022 <br />04/16/2023 <br />3,390,00 <br />678.00 <br />182.80 <br />.00 <br />4,250.80 <br />Total <br />45,645.56 <br />1 eeray that the Nebraska Department of Revenue has complied with the tenni of the Stab of Nebraska In determining the amount shown to be due. <br />and that the taxpayer hes felled to par the amount due alar demand.The Notice el State Tax Len is en electve lien and serves to eertktuo the priority of <br />the States interest in the elected property of the taxpayer. <br />sign ,914.447,frtelde4. <br />here <br />Atallods <br />Sieneturs <br />Revenue Senior Anent <br />Tie <br />Revenue Supervisor <br />12/28/2023 402-471-6067 <br />Date <br />Tale <br />Phone Number <br />1/22/2024 <br />Dote <br />4.44-107e Arm /.tele Supeneti 411M04e4I Mat 64013 <br />
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