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N <br />Good Life, Creat Serv.ca <br />202402622 <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2406000306-5 Pages: 1 <br />Debtor Name: CURL CURL LLC <br />Filing Date and Time: 06/12/2024 09:42 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 hen for ail 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 00 NOT WRITE IN THIS SPACE <br />Nof>,5aka 10 Numbs= <br />11699590 <br />F6derat 1D Number <br />464299383 <br />Lien Serial Number <br />12424535 <br />Len Filed With: <br />® aevuer of needs ❑ county clank <br />SocIoi 38Ota0y Number .Spouse's <br />NO SSN <br />Sadat Security Number <br />NO SPOUSE SSN <br />Dab of Lien <br />June 3, 2024 <br />lien Type: <br />® Original 0conwastim 0Corncted <br />C <br />HALL <br />Business Name and Location Address <br />taxpey <br />CURL CURL LLC <br />PO BOX 5378 <br />GRAND ISLAND NE 68802 <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 />06/01/2022- 11/3012022 <br />12/28/2022 <br />.00 <br />609.58 <br />197.97 <br />120.00 <br />927.55 <br />Sales <br />09/0112023- 12/31/2023 <br />01/19/2024 <br />11,284.12 <br />874.77 <br />2.70.43 <br />120.00 <br />12,549.32 <br />Sales <br />01/01/2024 - 02/29/2024 <br />03/19/2024 <br />5,218.07 <br />521,81 <br />60.74 <br />20.00 <br />5,820.62 <br />Total <br />19,297.49 <br />sign <br />here <br />1 certify that the Nebtaske Department Of Revenue has complied with Me Iowa of the State of Nebraska In determining the amount shown to be me... <br />end that the taxpayer has failed to pay the amount due alter demand This Notice of State Tax Lien is en a4c0 hen and sorees b Casinos the pdoriy of <br />the Sfata'e mlerost in the affected property of the taxpayer. <br />P epare's Signature <br />Authorized Sign tui <br />Revenue Agent <br />05/31/2024 402-47i-5879 <br />Tile Date Phone Number"- <br />Revenue Manager /r3lt <br />Tib as <br />4-454-1074 Pen 54016 EupMadas 44504075 044.54013 <br />