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NEBRASKA- <br />Good <br />RA� �/A <br />Good Life. Great Service. <br />«wwiart«Ouvuyr <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000382-2 Pages: 1 <br />Debtor Name: MARCEL BETANCOURT PEDROSO <br />Filing Date and Time: 01/07/2022 08:36 AM <br />Notice of State Tax Lien <br />202200206 <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 />PLEASeDO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />90276434 <br />Federal 0 Number <br />Lien Serial Number <br />12187485 <br />Lied Feed with. <br />® Mater of Deeds ❑ county cia k <br />Social Security Number <br />XXX -XX -8293 <br />Spouse's Social Security Number <br />Dale of Lien <br />December 17, 2021 <br />r s - <br />Len Type: <br />® 0t al ❑Continuation 0Correced <br />qty <br />HALL <br />ft address <br />axpayer Name and Mailing Address <br />MARCEL BETANCOURT PEDROSO <br />123 N LOCUST ST APT 906 <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 />individual <br />2019 <br />08/07/2020 <br />$226.00 <br />$11,30 <br />$11.75 <br />249.05 <br />Total <br />$249.05 <br />t certify that the Nebraska Department of Revenue hes complied with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has Weed to pay Ilse amount due atter demand. This Notice of State Tax lien is an effective ken and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />srcata- gs4• <br />h' Peepareeture <br />./_a z% ,f%6& <br />Authorized Signature <br />Revenue Agent 12/17/2021 (402)471-5833 <br />Tile Dale Phone Number <br />Revenue Supervisor 12/17/2021 <br />Tile Dale <br />a-6061074 Ray. B-2018 Supen.Ws 4.88'1074 Rev. 8.2013 <br />