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202505055 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2509000330-8 Pages: 1 <br />Debtor Name: OSTEON MEDICAL <br />Filing Date and Time: 09/10/2025 11:37 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />NEBRASKA- <br />Goo. L le. 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 the Tax <br />Commissioner. Taxes, including penalties, Merest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand'.These taxes are a Ilen for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this ken.This ken 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 Fedora! D Number <br />13455525 833863674 <br />Lien Sena! Number <br />12533761 <br />Lien Feed INah: <br />1i Register cif Deeds <br />0County Clerk <br />Sestet Security Number <br />NO SSN <br />Spouse's Sodat Securay Number <br />NO SPOUSE SSN <br />Date d Lien <br />August 4, 2025 <br />Lien Type: <br />® Cinema( <br />[Continuation <br />0 Corrected <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Name ana Malang wacress <br />OSTEON MEDICAL <br />2117 W CHARLES 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 />Sales <br />01/01/2022- 12/31/2022 <br />1b11,ot <br />300.00 <br />60.00 <br />43.42 <br />00 <br />403.42 <br />Saks <br />01/01/2023- 12/31/2023 <br />t(.))2U12.L <br />300.00 <br />60.00 <br />28.42 <br />00 <br />388.42 <br />Total <br />791.84 <br />sign <br />here <br />cerdty that the Nebraska Departrneta et Revenue has compiled with the tee* of the Stated Nebraska in ditermining the amount shown to be due, <br />and that the taxpayer ,t - failed y the due Moir demend,This Notice of State Tax Lien is an elective lien and serves to continue the priority of <br />the States fmoest;. ,y�,•,,.....,,. l ;:.y , •payar. <br />Revenue AEent <br />Tale <br />Revenue Manager <br />Tale <br />Date <br />a-see-1074 Rey. 64015 Supersedes 4449-1174 Rot. a-0w3 <br />