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NEBRASKA <br />Goes: Life. Great Service. <br />202402626 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2406000335-7 Pages: 1 <br />Debtor Name: SIX FEET UNDER <br />Filing Date and Time: 06/12/2024 10:31 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 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 1D 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 />PLEASEDONOTWRITE*IThISSCE <br />Date of <br />Assessment <br />Nebtaska fO Numbar <br />7664907 <br />Federal ID Niambee <br />470801743 <br />Interest <br />Lien Serial Nitrates <br />12424534 <br />Lien Filed i <br />rgi F.othator ot Deeds 0 County Clerk <br />SociRi Security Nomber <br />NO SSN <br />Spousea Socl& Security Numbet <br />NO SPOUSE SSN <br />11/01/2022 <br />Date of Lien <br />June 3,2024 <br />Lien Type <br />(X] Original Ej Continuation peonage() <br />- ' <br />County <br />HALL <br />— -- "----- <br />i <br />Business Name and Location Address <br />SIX FEET UNDER <br />GLASS BAR <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 />08/01/2022 - 09/30/2022 <br />11/01/2022 <br />.00 <br />28.16 <br />49.15 <br />20.00 <br />97.31 <br />Sales <br />01/01/2023 - 12/31/2023 <br />02/01/2024 <br />4,382.58 <br />261.05 <br />142.06 <br />20.00 <br />4,805.69 <br />Sales <br />0 1 r01/2024 - 02)29/2024 <br />03/20/2024 <br />2,208.66 <br />190.8627.39 <br />20.00 <br />2,446.91 <br />Total <br />7,349.91 <br />certify that the Nebraska Department of Revenue has corricald with the laws of the Stale Of Nebraska in determining the amount shown to be due <br />and that me termer has tailed Si pay the amount due atter demand. This Notice of Stale Tex 1.101 an effective *imam serves to callow' the prtority of <br />the State's interest in the affected property of the taspayer. <br />sign k U9a441 <br />here r PmPamr S <br />Authorized Signature <br />Revenue Agent <br />nue <br />Revenue Manager <br />06/03/2024 402-471-5870 <br />Delo Phone Number <br />Title <br />Dale <br />a-404.1014 Pa. I 0018 Swansea. 5410.1074 Flaw. 04013 <br />