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Good Life. Great Service. <br />01.1.111.41,0 =IMMO <br />202403574 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2407000827-2 <br />Debtor Name: JOSHUA JOHNSON <br />Filing Date and Time: 07/30/2024 09:33 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />This Notice of State Tax !,Jen 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 filen. 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 KOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />14001519 <br />Federal 111 Number <br />852213851 <br />flan Serwi Number <br />12425184 <br />Lien Hied was <br />® Register of Deeds Q County Cie* <br />Socia Security Number <br />XXX -XX -2987 <br />gpouese Saast Security Number <br />NO SPOUSE SSN <br />Oate of Lan <br />July 16, 2024 <br />Lien Type; <br />isi Original 0Continuation OCorrected <br />County <br />HALL <br />nese Name and Location Address <br />Taxpayer Name and Moping Address <br />JOSHUA JOHNSON <br />195 RAINBOW RD <br />GRAND ISLAND NE 68801 <br />Tax Program <br />....... ..................... <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Pcaalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />01/01/2022 - 03/31/2022 <br />07/09/2022 <br />5,78000 <br />867.00 <br />562.18 <br />00 <br />7,209.18 <br />Withholding <br />04/01/2022-06/30/2022 <br />04/16/2023 <br />4,500.00 <br />1,575.00 <br />403.63 <br />.00 <br />6,478.63 <br />Withholding <br />07/01/2022 - 09/30/2022 <br />04/16/2023 <br />4,500.00 <br />1,350.00" <br />369:60 <br />.00 <br />6,219.60 <br />Withholding <br />10/01/2022 - 12/31/2022 <br />04/16/2023 <br />4,500.00 <br />675.00 <br />327.93 <br />.00 <br />5,502.93 <br />Withholding <br />01/01/2023 - 03/31/2023 <br />08/28/2023 <br />2,730.00 <br />546.00 <br />165.68 <br />.00 <br />3,441.68 <br />Total <br />28,852.02 <br />1 amity that the Nebraska Department el Revenue has complied with the laws o1 the State of Nebraska In determining the anloumt shown to be due. <br />and that the tasrpeyerhas Wed to pay the amount due atter demand. This Notice O Stale Tax Lien Is an effective ren and saves to continue We priority of <br />the State's Irttereet In the effected property of the taxpayer <br />sign fri4e d+ r, <br />here � e <br />stoma* <br />Revenue Senior Ment 07/09/2024 402-471-6067 <br />Tete Date Wane Number <br />Revenue Senior Agent 7/17/2024 <br />Par <br />Det. <br />449441174 e c 04010 01Oenedes 44404974 7444192019 <br />