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NF 131 A 4;f14.. <br />Good Life. Great Service. <br />202403572 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2407000825-4 Pages: 1 <br />Debtor Name: JOSHUA C JOHNSON <br />Filing Date and Time: 07/30/2024 09:27 AM <br />Notice of State Tax Lien <br />This Notice of Stats 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 deniend.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 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 INTIM% SPACE <br />Nebraska ID Number <br />14001519 <br />Federal ID Number .. <br />852213851 <br />Lien Sena' Number <br />12425180 <br />Uen Rise with: <br />® Registerof Deeds ]County Cora <br />Social Security Number <br />NO SSN <br />SpmJsie Sadie Security RranbSr <br />NO SPOUSE SSN <br />Date of Lien <br />July 16, 2024 <br />Lien'type: <br />®tMpnal 0Contetwaon DCa»cled <br />County <br />HALL <br />Business Nam <br />end Location Address <br />Taxpayer Name and Melling Address <br />JOSHUA C JOHNSON <br />195 RAINBOW RD <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 -12/31/2021 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />324.89 <br />' .00 <br />4,020.89 <br />Sales <br />01/01/2022 - 01/31/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />317.04 <br />.00 <br />4,013.04 <br />Sales <br />02/01/2022 - 02/28/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />309.95 <br />.00 <br />4,005.95 <br />Sales <br />03/0€/2022-03/31/2022 <br />07/09/2022 <br />3,080.00 <br />616.00 <br />302.11 <br />.00 <br />3,998.11 <br />Sales <br />04/01/2022 - 04/30/2022 <br />/04/16/2023 <br />3,390.00 <br />678.00 <br />324.16 <br />00 <br />4,392.16 <br />Sales <br />05/01/2022-05/31/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />315.53 <br />.00 <br />4,383.53 <br />Sales <br />06/01/2022 - 06/30/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />307.17 <br />00 <br />4,375.17 <br />Sates <br />07/01/2022.07/31/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />298.53 <br />.00 <br />4,366.53 <br />Sales <br />08/01/2022.08/31/2022 <br />04/16/2023 <br />3,390.00 <br />678.00; <br />289.89 <br />.00 <br />4,357.89 <br />Sales <br />09/01/2022 -09/30/2022 <br />"04/16/2023 <br />3,390.00 <br />678.00: <br />281.53 <br />.00 <br />4,349.53 <br />Sales <br />10/012022 -10/31/2022 <br />04/16/2023 <br />3,390.00' <br />678.00 <br />272.90 <br />.00 <br />4,340.90 <br />Total <br />46,603.70 <br />I certify the are Rebate[. Department of Revenue has compiled YAM 9a pens of the State of Nebasla In determining S. amount share to he due <br />and Met the taxpayer tray *aged to pay the amount due atter demand, Thla Neese e1 State Tex Lien is en eXedrve lien end agnea to continue the priority el <br />the Steads interest in the elected property al the taxpayer. <br />sign k #4.4 7014.44- <br />here r Preparere <br />AUS <br />Revenue Senior Agent <br />07/09/2024 402471-6067 <br />Tia* <br />Revenue Senior Agent <br />ntr <br />Dale <br />7/17/2024 <br />Data <br />4494-ts74 Nw..e.9M1 Sr eraedn 4441-1974 RW. 04013 <br />