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NE Sec of State - Robert B. Evnen Filing Document #: 2205001239-4 Pages: 1 Debtor Name: EMERITO VALDEZ GONZALEZ Filing Date and Time: 05/25/2022 10:05 AM Notice of State Tax Lien 2O22i 3869 This Notice of State Tax Lien is Issued by the Nebraatta Department of Revenue for unpaid taxes administered by the Tax Consul: stoner. Taxes, including penalties, interest, and coats, which we shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a Ilea for as property located In the county and rights to property owned by the taxpayer or acquired before the expiration of this tien.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 Nen or continuation statement. PLEASE 00 of WRITE St S SPACE ID Nuri 4$717411 le NO FEIN t ien Number 12.299790 Lien f atseeds ❑ Booed sea ray -9582 lirertar NO SPOUSE SSN 13ae of lit May 20, 2022 I an T ipor 530410.0 ❑consenter ❑00lmeed Caadlr HALL and t Taxpayer Name end Mafi Address EMERITO VALDEZ GONZALEZ 812 W 16TH STREET GRAND ISLAND NE 68801 Tax Program Tax Period Date of ant Tax Penalty In Costa Total Due Individual 2016 01/24/2020 $467.95 $26.00 $99.52 $593.47 InaI 2017 03/20/2021 $185.00 $9.55 $30.98 $225.61 Total $818.98 I certify tad the Department of Harmsen M competed wet the Nee of the Sete of Nemesia in determining the mount ahem to be due, and that the tawpayer i failed to pay the amount due stet demand. TN. Nuke of Sete Tux Uen le el elfeotue lien end genes to continue the priority of the Sate%4aereet in the atreoled papery of the taxpayer. sign here PrePolor's Wei" Revenue Anent 05/20/2022 (402)471.6043 TNe Duo Phone Number Revenue Supervisor 05/20/2022 1118 l%ar oma teat rtes Elopmerds 44,11Mg74ant11400