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202504473 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2508000537-0 Pages: 1 <br />Debtor Name: HELL RAISER CHASSIS <br />Filing Date and Time: 08/12/2025 10:29 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />N ASf4A- <br />(tor d Lie Great Serv+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 if no <br />continuation statement Is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Mill <br />PLEASE D0 NOT WRITE IN THIS SPACE <br />Nebraska) ID Number <br />13270575 <br />Federal 0 Numdx <br />825449232 <br />Lien Serial Number <br />1253t837 <br />Lien Rand With <br />® Aerator ofDeeds ❑County Clerk <br />Social Security Number <br />NOSSN <br />Spouse's Sootat Security Number <br />NOSPOUSE SSN <br />Date often <br />June 10, 2025 <br />Lien Type: <br />® Original ©ComYr,.ation ❑Conte <br />County <br />HALL <br />- <br />Business Name and Location Address <br />axpayer Name and an <br />HELL RAISER CHASSIS <br />3106 W NORTH FRONT 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 Due <br />Sates <br />01 /01 /2022 <br />-12/31 /2022 <br />jO f , 4'ZOlh <br />300.00 <br />60.00 <br />39.80 <br />.00 <br />399.80 <br />Sales <br />01 /01 /2023 <br />- 12/31 /2023 <br />10/20024 <br />300.00 <br />60.00 <br />24.80 <br />.00 <br />384.80 <br />Total <br />784.60 <br />I candy that the Nebraska Department of Revenue has complied Mtn the laws of the State of Nebaaka in determining the amours shown to be due, <br />and that the taxpayer has tailed to pay the amount due aMr demand. Tits Notice of State Tax Lien is an )Nedra. lien and serves 10 continue the pnonly of <br />the 5talie 4314001,1 to affected rty d 01. taxpayer. <br />+at's• 1 )'11.1MThl <br />Revenue Agent <br />Tape <br />Revenue Manager <br />06/03/2025 402-471-2518 <br />Date Phone Number <br />Tate Date <br />4-49a-ltna nsw a-dete 134eanades 4-940-1974 Rev. 0.2013 <br />