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202504475 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2508000542-2 Pages: 1 <br />Debtor Name: VANDERVELPEN CARPENTRY LLC <br />Filing Date and Time: 08/12/2025 10:34 AM <br />sign <br />here' Swarm's Signature <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />NEB 4644A- <br />Good e fie. Crest Serwae <br />.1.0.11110114111,4.1.44 <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 />Nobn.ka ID Number <br />14855.402 <br />Uen Senal Number <br />12531770 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal 10 Number <br />872058914 <br />ten Filed With: <br />Register at Deeds <br />C <br />Soda) Security <br />NO SSN <br />Date et Lien <br />June 10,2025 <br />Lien Type: <br />Ni Original <br />�Ceetinetion ❑cormactea <br />Business Name and Location Address <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />VANDERVELPEN CARPENTRY LLC <br />2309 SHERIDAN AVE <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 />IC/aj,1jti <br />300.00 <br />60.00 <br />39.80 <br />.00 <br />399.80 <br />Sales <br />01 /01 /2023 - 12/31/2023 t e/�L4Zt <br />300.00 <br />60.00 <br />24.80 <br />.00 <br />384.80 <br />Total <br />784.60 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State at Nebraska in determining the amount shown lo be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien in an effective lien and serves to continue the priority of <br />the Status interest in the a property of the taxpayer. <br />a, tie Revenue Agent <br />T� •tt• N <br />Authorized Signature <br />TAM <br />Revenue Manager <br />Title <br />06/03/2025 402-471-2518 <br />Date phone Number <br />Date <br />sas4-1074 Rea. t4201e Supersedes 4-Seb1074 Rev 5-20MS <br />