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-. <br />Giy:ai Life, G rat Serr._a. <br />NE Sec of State • Robert B. Evnen <br />Filing Document #: 2207001267-5 Pages: 1 <br />Debtor Name: MARIA A CASTILLO <br />Filing Date and lime: 07/22/2022 10:12 AM <br />Notice of State Tax Lien <br />202205418 <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 tien.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 />99279398 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12203768 <br />Lien Filed Witil: <br />Social Security Number <br />XXX -XX -0338 <br />Blouses Social Security Number <br />NO SPOUSE SSN <br />4 Register of Deeds ❑ County Clerk <br />Date of Lien <br />July 20, 2022 <br />Lien Type: <br />® Original ❑Continuation ❑Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MARIA A CASTILLO <br />703 S LINCOLN AVE APT A <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 />2017 <br />07/01/2021 <br />$668.00 <br />$33.40 <br />$112.24 <br />$813.64 <br />Individual <br />2019 <br />07/31/2020 <br />$107.22 <br />$13.45 <br />$10.55 <br />$131.22 <br />Total <br />$944.86 <br />I certify that the Nebraska Department of Revenue has compeed with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due atter demand, This Notice of State Tex Lien is an effective lien and serves to continue the priority of <br />the States interest in Me affected property of the taxpayer. <br />sign` Revenue Agent 07/20/2022 (402)471-5712 <br />here Preparer's Signature ,f' Title Date Phone Number <br />.� -rte Revenue Supervisor 07/20/2022 <br />rynhorned Signatrre Tilts Date <br />4494-1774 Rev. 8.2018 Slp rseees a -gas -¶974 Rev. 8-2017 <br />