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202507085 <br />Good Life. Great Service <br />ewmwnf a-VEN JE <br />Notice of State Tax Lien <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2512004889-4 <br />Date Filed: 12/16/2025 1:59 PM <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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number Federal ID Number <br />13924060 NO FEIN <br />Lien Serial Number <br />12536729 <br />Lien Flied With: <br />County Clerk <br />Social Security Number <br />XXX-XX-5697 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />© Register of Deeds <br />Date of Lien <br />November 24, 2025 <br />Lien Type: <br />County <br />HALL <br />gj Original <br />is Continuation <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ANDRE A BIENVENU <br />MID NEBRASKA CYCLES <br />1408 W JOHN ST <br />GRAND ISLAND NE 68801 <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 - 10/31/2022 <br />12/01/2022 <br />4,298.13 <br />441.21 <br />916.54 <br />.00 <br />5,655.88 <br />Sales <br />11/01/2022 - 11/30/2022 <br />01/03/2023 <br />827.01 <br />42.70 <br />143.01 <br />20.00 <br />1,032.72 <br />Sales <br />12/01/2022 - 12/31/2022 <br />03/01/2023 <br />201.94 <br />25.00 <br />34.21 <br />.00 <br />261.15 <br />Sales <br />01 /01 /2023 - 01 /31 /2023 <br />03/01/2023 <br />243.21 <br />25.00 <br />40.10 <br />.00 <br />308.31 <br />Sales <br />02/01/2023 - 08/31/2023 <br />12/02/2023 <br />4,270.00 <br />854.00 <br />634.42 <br />.00 <br />5,758.42 <br />Sales <br />09/01/2023 - 01/31/2024 <br />06/02/2024 <br />3,300.00 <br />660.00 <br />407.30 <br />.00 <br />4,367.30 <br />Sales <br />02/01/2024 - 09/30/2025 <br />11/03/2025 <br />4,641.49 <br />560.95 <br />359.00 <br />.00 <br />5,561.44 <br />Total <br />22,945.22 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska 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 serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />11/24/2025 402-595-3849 <br />Date <br />rized Signature V Title <br />Ph. Nu r <br />V 2 <br />D e <br />4-494-1974 Rev. 8-2018 Supersedes 4.949-1974 Rev. 8.2013 <br />C0512-1483 12/16/2025 8:13 <br />Received by Nebraska Secretary of State <br />