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Good I. kir. Conal g<;rrice, <br />e.an+rxar o.A v.. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001096-3 Pages: 1 <br />Debtor Name: OSCAR HURTADO DE LA MERCED <br />Filing Date and Time 03/I 8/2022 10:45 AM <br />Notice of State Tax Lien <br />202202009 <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 <br />13366459 <br />Federal ID Number <br />833984656 <br />t.me Serial Number <br />1.2207863 <br />Liar Filed With. <br />Register of Death D eoanty Clerk <br />Social Security Number <br />XXX -XX -6462 <br />Spouse's Social Security Number <br />NO SPOUSE SSV'. <br />Date of Lien <br />March 11, 2022 <br />Lien Type: <br />DX Original D ccxuinsetiwr D CC,'eCted <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />OSCAR HURTADO DE LA MERCED <br />1 100 E SOUTH STREET # 46 <br />HASTINGS NE 68901 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Litter Fee <br />07/01/2018 - 06/30/2019 <br />06/20/2021 <br />.00 <br />25.00 <br />.00 <br />.00 <br />25.00 <br />Litter Fee <br />07/01/2019 - 06/30/2020 <br />06/20/2021 <br />.00 <br />25.00 <br />.00 <br />.00 <br />25.00 <br />Saks <br />044)1/2019 - 06/30/2019 <br />06/20/2021 <br />250.00 <br />50.00 <br />27.11 <br />.00 <br />327.11 <br />Total <br />377.11 <br />I certify that the Nebraska Department of Revenue has campted with the laws of tIre State of Nebraska in determining the amount shown to be due, <br />and trot the taxpayer has laded to pay the amount due atter demand. This Notice of State ax Den is an effective lien and serves to cont!rue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign k9ruje,L. <br />here r PmEareri.Sture <br />Revenue Agent 03/11/2022 402-471-5870 <br />Tile Date PhoneN tuber <br />_..'.. " Revenue Supervisor rs c <br />Authorized Signal re <br />Tile Date <br />4-494.1974 per, 152018 Suise <br />4.949.1374 Rev, 9-5015 <br />