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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2208000932-4 <br />Debtor Name: ERICK R ARDON AGUIRRE <br />Filing Date and Time: 08/25/2022 09:48 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />202206242 <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 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 NumbP.! <br />45288356 <br />Peaerat ID Nembar <br />NO FEIN <br />Lien Serial Number <br />12205980 <br />Len Filed Wen.: <br />® Register of Deeds ❑ County Gnrk <br />Social Security Number <br />XXX -XX -0117 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Lion <br />August 17, 2022 <br />L.:en Typo! <br />jXf Original 0Cur aimrattoo r]Corrected <br />County <br />HALL <br />usiness Name and Locatio <br />A <br />ress <br />axpayer Name and Matitng Address <br />ERICK R ARDON AGUIRRE <br />1117 GREENWICH ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest ` Costs <br />j <br />Total Due <br />individual <br />i <br />2018 <br />11/29/2021 <br />$68,50 <br />$26.50 <br />$69.96 <br />S164.96 <br />Individual <br />2019 <br />11/29/2021 <br />$671.00 <br />S33,55 <br />$48.29 <br />$752.84 <br />Total <br />$917.80 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebrouira at determining the amount shown to be duts <br />and that the taxpayer has tailed to pay the amount due after demand. hits Notice of State Tax Dee is art effective Pier and serves to eonohae the priority of <br />the States interest in tete affected property cif the taxpayer. <br />re/poser`s Signatuia� <br />1 r 2&!d Si<Trratuee <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />08/17/2022 (402)471-5833 <br />Date <br />Title <br />Phone Number <br />08/17/2022 <br />Date <br />r _190.1924 rig+, 9•2e16 Sameness 4.444.1974 R e 0-2015 <br />