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N <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2208000764-5 Pages: 1 <br />Debtor Name: YOANDRIS MONTOYA AVILES <br />Filing Dale and Time: 08/22/2022 10:05 AM <br />Notice of State Tax Lien <br />262206162 <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 Iien.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 00 NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />48468711 <br />=odarelit) Number <br />NO FEIN <br />Lien Serial Number Lien Pled With, <br />12205977 Register of Deeds (County Clerk <br />Date of Lien Lien Type: <br />August 17, 2022 )4 Original ©Continuation, <br />Social Security Number <br />XXX -XX -0043 <br />Spouse's Social Sectody Number <br />NO SPOUSE SSN <br />County <br />�Cwrecteu HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />YOANDRIS MONTOYA AVILES <br />801 E 9TH STREET <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty I Interest <br />537 80 $101.74 <br />Costs <br />Total Due <br />$895.54 <br />Individual <br />2018 <br />12/20/2021 <br />$756.00 <br />Individual <br />2020 <br />12/20/2021 <br />$892.00 <br />544.60 $33.51 <br />$970.11 <br />Total <br />51,865.65 <br />sign <br />here <br />1 certity that the Nebraska Department of Aoveruo has complied with the Laws of the State of Nebrasoa in determining the amours shown 10 be due, <br />and that Me laxpayer has faiied lo pay the amount due after demand. This Notice of State Tax L.Len is an effective tion and serves to continue the priority of <br />the Sttaate's interest: in the <br />affected <br />properly of the taxpayer. <br />2211.0.— Revenue Agent <br />/parer's_ Signature `` qq <br />L MA:1?/t9Y.2 <br />Ao hesizert Signature <br />Title <br />Revenue Supervisor <br />08/17/2022 (308)632-1208 <br />Dare Phone Nueotser <br />08/17/2022 <br />Title Date <br />4.49aler4 Rev,1.2010 0,rperardes 4-949-1904 KW. 4-2013 <br />