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202504061 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2507000877-6 Pages: 1 <br />Debtor Name: GRAND ISLAND GAMING GUILD <br />Filing Date and Time: 07/24/2025 09:06 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />N B&,AS+4 <br />C-ooc: t le Greet Set ce <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, 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 lien.This lien will expire and <br />become unenforceable 10 years after the date of recording it 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 INTHIS SPACE <br />Nebraska ID Number <br />12076600 <br />Federal ID Number <br />465249626 <br />lien Serial Number <br />12531095 <br />Lien rued With: <br />[XJ Register of Dries 0 Canty clerk <br />Social Security Number <br />NO SS v <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />May 30, 2025 <br />Liao Type: <br />® onginai []Continuation ā¯‘Corrected <br />County <br />HALL <br />Business <br />me and Location Address <br />axpayer Name and Mailing <br />GRAND ISLAND GAMING GUILD <br />2204 W DIVISION ST <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 Duc <br />Sales <br />Sales <br />01/01/2022 - 12/31/2022 <br />01/01/2023 - 12/31/2023 (0/2 2Or;'! <br />/202y 300.00 <br />300.00 <br />60.00 <br />60.00 <br />39.08 <br />24.08 <br />00 <br />00 <br />Total <br />1 candy that the Nebraska Department of Revenue has complied with the laws of the State of Aabraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien is an effective lien and selves to canine Me priority of <br />the Stale's interest in the a!fectyproperty she taxpayer. <br />sign <br />here r Pteparer's Signature <br />Aulhori=ed Signature <br />399.08 <br />384.08, <br />783.16 <br />Revenue Agent 05/23/2025 402 471-25t8 <br />Tills Date Phone Number <br />Revenue Manager <br />Title Dale <br />4 .94-1074 Ran 62016 &pereedea 444e-,er. Rev. 5- 019 <br />