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lLife. Great <br />Goodat Service. <br />202403573 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2407000826-3 Pages: 1 <br />Debtor Name: JOSHUA JOHNSON <br />Filing Date and Time: 07/30/2024 09:30 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, end costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a lien for ail property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Iien.This Nen 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 DO NOT WRITE IN THIS SPACE <br />Nebraska 10 Number <br />14001519 <br />Federal ID Number <br />852213851 <br />Lien Serial Number <br />12425182 <br />tIan Rad With: <br />KI Register et Deeds Doo Cork <br />Social Secwity Number <br />XXX -XX -2087 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Uen <br />July 16, 2024 <br />Uan'rype: <br />cgi Original❑ Conbnuattan 0 Corrected <br />County <br />HALL <br />business Hama ane urcaaon Hoarse <br />xpeyer Name and Matting Address <br />JOSHUA 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 />11101/2022 -11130/2022 <br />04/16/2023 <br />1390.00 <br />678.00 <br />264.54 <br />00 <br />4,332.54 <br />Sales <br />12/01/2022 - 12131/2022 <br />04/16/2023 <br />3,390.00 <br />678.00 <br />252.18 <br />.00 <br />4,320.18 <br />Sales <br />01/01/2023 - 01/31/2023 <br />08/28/2023 <br />3,730.00 <br />746.00 <br />261.61 <br />.00 <br />4,737.61 <br />Sales <br />02101/2023 - 02/28%2023 <br />08/28/2023 <br />3,730.00 <br />746.00 <br />247.31 <br />.00 <br />4,723.31 <br />Sales <br />03/01/2023 - 03/31/2023 <br />08/28/2023 <br />1,865.00 <br />373.00 <br />'115.72 <br />.00 <br />2,353.72 <br />Tire Fee <br />01/01/2021 - 12131/2021 <br />07/09/2022 <br />50.00 <br />30.00 <br />• 5.25 <br />.00 <br />85.25 <br />Tire Fee <br />01/01/2022- 12/31/2022 <br />08/28/2023 <br />.00 <br />25.00 <br />.00 <br />.00 <br />25.00 <br />Waste Reduction <br />07/01/2021 - 06/30/2022 <br />12/14/2022 <br />24.97 <br />5.00 <br />2.14 <br />.00 <br />32.11 <br />Total <br />20,609.72 <br />!certify that the Nebraska Depanment at Rssrun-has comprise with the kava of the Stale of Nabraake N OeWenininp the awe shown b be due. <br />and that the taxpayer has heed to pay the amount dee afar demand. That Notice of Stele Tax Uan Nan elective len and serves le continue the priority of <br />tie Slaws tnbrast N Mb elhcled property of the taxpayer. <br />sign 9/44,47,1•444.e. <br />here H.pu,rsts <br />ad apnskua <br />Revenue Senior Agent 07/09/2024 402-471.6067 <br />TAN <br />Revenue Sealer Agent <br />Dab <br />Rio,Number <br />7/7/20 <br />Tile <br />Oats <br />a.asa.tete raw a emit arpanedeaeee.teat bra sem <br />