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2024056 S <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2411000241-1 Pages: 1 <br />Debtor Name: JEREMY ENCINGER <br />Filing Date and Time: 11/06/2024 09:52 AM <br />Good LN.. Greet Service. <br />„MRMYrt OM NNW. <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. Tames, including penalties, Interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.Thsse 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 Nen.Thls lion 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 were IN TM SPACE <br />Nebraska ID Nurnbr <br />11977930 <br />Palatal ID Noe Ose <br />472907585 <br />Lien Brel Nu err <br />12426962 <br />Uen Red WNW <br />® Rapider of Deeds ❑ County Chet <br />Boded Security Number <br />XXX-XX-2099 <br />8poueats Baclat Setxurky <br />NO SPOUSE SSN <br />lNenpe <br />Dais d Win <br />October 16, 2024 <br />Uen Type: <br />® *owl ■ Canal uuon OConecud <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JEREMY ENCINGER <br />GI AUTO LLC <br />821E OKLAHOMA AVE <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 />05/01/2020 - 01/31/2023 <br />07/11/2023 <br />497.25 <br />142.65 <br />36.98 <br />.00 <br />676.88 <br />Withholding <br />01/01/2020-12/3112020 <br />07/11/2023 <br />2,900.00 <br />1,015.00 <br />424.04 <br />.00 <br />4,339.04 <br />Total <br />5,015.92 <br />I aunty that rna Nebraska operant a Aearwnas sampled WAN Me lava of It. Ws a rsabraeka In d.bnrir6p the mount steel to be due, <br />and that the taxpayer bee Sled a pay to amour, dw Seer amend, Thin Nonce of Slab lax Use le en eaedea ern and we. to continue the Moray of <br />Yxe Stab's Intent: In the asecbd property of the buyer. <br />sign �,,sra.. 44t <br />here � wmew" el m• <br />� <br />Revenue Senior Ateat 10/09,2024 402-471-5723 <br />Bee Date Phcaut Number <br />Revenue Supervisor 0/31/2024 <br />TIM Dee <br />41e44ee4 wa s40te e,pwee. 444,104 flat s-sars <br />