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012 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2507000235-6 Pages: 1 <br />Debtor Name: DEAN SHAFFER PRODUCTION LLC <br />Filing Date and Time: 07/09/2025 11:23 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />Good Lee. Great Service. <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 theTax <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 iien.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 DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number..... Federal. ID Number <br />14573938 812688005 <br />-Spfxrser% <br />Lien Sorrel Number <br />12530793 <br />Dan Filed With: <br />® Register of Deeds <br />0County Clerk <br />Social Security Number <br />NO SSN <br />Social Security Number <br />NO SPOUSE SSN <br />Dale of Ilan <br />May 21, 2025 <br />Lien 'FA*: <br />❑continuation <br />0 Corrected <br />County <br />HALL <br />Original <br />Business Name and Location Address <br />am axpayer Ne and Flailing Address <br />DEAN SHAFFER PRODUCTION LLC <br />2626 ST PATRICK AVE 4 <br />GRAND ISLAND NE 68803 <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 />01/01/2022 - 12/31/2022 <br />te/20/2oz'f <br />300.00 <br />60.00 <br />38.49 <br />.00 <br />398.49 <br />Sales <br />01/01/2023 -12/31/2023 <br />I a/202-Y <br />300.00 <br />60.00 <br />23.49 <br />.00 <br />383.49 <br />Total <br />781.98 <br />I. certify that the Nebra <br />and that the taxpayer has <br />the States Interest In the <br />sign <br />here r Preparees Signature <br />Department of Rewnus hoe compiled with the laws of the State of Nebraska in determinbg the amount shown to be due. <br />to pay amount due after deeWnd.Thls Notice of State Tax Lien Is an effective lien and serves ie continue the priority of <br />pm of the payer. <br />i.,,-.. <br />Authorized Signature 4 'Nile <br />Revenue Agent <br />Revenue Manager <br />05/14/2025 402-471-2518 <br />Oats Phone Number <br />ate <br />4.494•1074 Rev. 8-2018 Summed. 4449-1974 Ave. a2013 <br />