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NESPASKA- <br />Good Life. Great Service, <br />aerMIDNIM yawn <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2205001228-8 <br />Debtor Name: HENRY BLANCO OSORIO <br />Filing Date and Time: 05/25/2022 09:25 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />96221;38618 <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 mid 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 Nen. 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 D0 NOT WRITE INTIK SPACE <br />Nebraska ID Number <br />48324828 <br />Federal ID Number <br />NO FEIN <br />Lien Sold Neater <br />12299708 <br />lien Fed wm <br />Soda! Socially Number <br />100X-XX.4028 <br />spouade Sold Smutty Nates <br />NO SPOUSES$N <br />►.i ReyhterofDeeds ❑ Cooly ciedt <br />Dore ot Lien <br />May 19, 2022 <br />Lien type: <br />❑ <br />County <br />HALL <br />Ona tonal ■ <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />HENRY BLANCO OSORIO <br />721 W JOHN <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 />2018 <br />12/2512021 <br />$2,774.00 <br />$138.70 <br />$352.79 <br />$3,265.49 <br />Individual <br />2019 <br />1212512021 <br />$256.00 <br />$12.80 <br />$16.53 <br />$286.33 <br />Individual <br />2020 <br />12/25/ 021 <br />$1,135.00 <br />$58.75 <br />$34.24 <br />$1,225.99 <br />Total <br />$4,776.81 <br />Ico* thatteNebradvDeperenentdRevenuetreecom bed with the fan, of lbs Set, of Nifasals iodeleembilng the stmtx*ahceniio be due <br />and that the taxpayer hes fatted to pay the amount dee atter limn!. thla Nolte of Side Ax Lien Is an dkdtve S and awes to oospore the prkulty of <br />the Stater Interest In dm aft property of the swept <br />sign z2444,4, ,P ti <br />hereLeed ture <br />4446.- <br />Auhedzad drama <br />Revenue Apert 05/19/2022 (3081632-1206 <br />Dole Phone Number <br />Revenue Supervisor 05/19/2022 <br />Tele Date <br />4.1841$74 nett S IS 4 •,4X Ree$4013 <br />