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N_EBDAcK- Good Life. Great Service. NE Sec of State - Robert B. Evnen Filing Document #: 2202000551-9 Debtor Name: KEVIN H AVILA .10 Filing Date and Time: 02/09/2022 09:39 AM Pages: 1 Notice of State Tax Lien U2201055 This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this lien.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE 00 NOT WRITE IN THIS SPACE Nebraska ID Number 92454399 Federal A Number Lien Serial Number 12290514 Lien Filed With; ® Register of Deeds El County clerk Social Security Number XXX -XX -1272 Spouses Social Security Number Date of Der February 03,2022 i Uen Type: ®original I:Conmuation ❑corroded County HALL Business risme and Location NAddress Taxpayer Name and Mailing Address KEVIN H AVILA JO 909W1ST ST GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2019 08/11/2020 $223.72 $74.45 $45.80 343.97 Total $343.97 sign here I certify that the Nebraska Department of Revenue has compaed with the laws of the Slate of Nebraska in determining the amount shown lobe due, and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax twin is an effective Gen anti serves to continue the priority of Me States interest at the affected property of the taxpayer. ae.e2 Preparers Signature A%6& Authorized Signature Revenue Agent 02/03/2022 (308)632-1208 Title Date Phone Number Revenue Supervisor 02/03/2022 Title Date 1-1941974 Reu 9.ZMe Supersedes 4919.1974 Rev. 42013