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Nom, <br />Good Lite Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001526-9 Pages: 1 <br />Debtor Name: ESTID N BARRIOS <br />Filing Date and Time: 03/30/2022 09:47 AM <br />Notice of State Tax Lien <br />24)22L Z 74 <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.Thls 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 INT I8 SPACE <br />Nebraska ID Number <br />47079444 <br />federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12295033 <br />Lien Flied wide <br />[Ki pegs of Deeds i] County Clerk <br />Somal Security Number <br />XXX X(.4528 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />March 24, 2022 <br />Uen type: <br />IX] original ❑Contihunlon ❑Coneaeed <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Name aria Ma <br />ESTID N BARRIOS <br />6270 N 78TH ST UNIT 335 <br />SCOTTSDALE AZ 85250 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />interest <br />Costs <br />Totai•Due <br />Individual <br />2019 <br />07/16/2021 <br />$884.00 <br />$221.00 <br />$53.02 <br />$1,158.02 <br />Total <br />$1,158.02 <br />sign <br />here <br />certify that the Nebraska Department of Revenue has complied with the Fevre of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has teed to pay the amount due after demard.This Notice df State Tax lien Is an affective ren end somas to continue the priority of <br />the State's interest in the affected property of the taxpayer, <br />Renames Signature <br />Authorized Signature <br />Revenue Agent <br />Title <br />03/24/2022 (308)632-1206 <br />Date Rhone Number <br />Revenue Supervisor 03/24/2022 <br />Titte Date <br />4494.1974 Rev. 64018 Supersedes 4-946.1074 Rev &2419 <br />