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ryflIPASKA- <br />Good Life. Great <br />w..nā€¢ otra w e.vr-.a <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2204000829-5 Pages: 1 <br />Debtor Name: YORDY ALFONSO <br />Filing Date and Time: 04/15/2022 10:31 AM <br />Notice of State Tax Lien <br />202202802 <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, end 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 />48451908 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12296601 <br />Lien Fed With: <br />Di] sewer 01Deeds 0DeoMrDie* <br />Social Security Number <br />XXX -XX -2094 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />April 11, 2022 <br />Lien Type: <br />® 04*w ā‘ Conti rent on ā‘ corrected <br />County .. <br />HALL <br />us nets Name and Location Address <br />Taxpayer Name and Mailing Address <br />YORDY ALFONSO <br />224 SARATOGA CIRCLE <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 />$1,393.84 <br />$156.63 <br />$135.57 <br />$1,686.04 <br />Individual <br />2020 <br />06/11/2021 <br />$2,420.00 <br />$174.56 <br />$65.44 <br />$2,660.00 <br />Total <br />$4,346.04 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of trot Stale of Nebraska in determining the amount shown to be due. <br />and Mat the taxpayer has faded 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 />11 <br />BMJ 42464 o_ <br />7 <br />Authorized Signature <br />Revenue Senior Agent <br />Title <br />Revenue Supervisor <br />04/11/2022 (308)632-1203 <br />Date phone Number <br />04/11/2022 <br />Title Date <br />4484-1974 Rev. 64018 Suparseyes 4.949.1674 Rev. 8-2013 <br />