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202300578
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2/6/2023 11:24:31 AM
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2/6/2023 11:24:31 AM
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202300578
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NIF.13-. <br />'Need Lee. Great Sarwce. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2302000092-0 Pages: 1 <br />Debtor Name: PEDRO MARRERO GUERRA <br />Filing Date and Time: 02/02/2023 11:16 AM <br />Notice of State Tax Lien <br />202300578 <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, end 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 DO NOT WRITE IN THIS SPACE <br />Nebraska ID Ntenber <br />92386938 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12318576 <br />Lien reed With; <br />Social Se Linty Number <br />XXX -XX -1236 <br />Spouse's Social Socially Number <br />NO SPOUSE SSN <br />i:4 negiater of Deeds D County Clerk <br />Date of Lien <br />January 27, 2023 <br />Lien type: <br />ElCorrected <br />County <br />HALL <br />i.. original 0Cdndnuadon <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />PEDRO MARRERO GUERRA <br />909 S EDDY STREET <br />GRAND ISLAND NE 88801 <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 />12/25/2021 <br />$241.63 <br />$41.55 <br />$107.16 <br />$390.34 <br />Individual <br />2019 <br />12/25/2021 <br />$833.00 <br />$41.65 <br />$72.34 <br />$946.99 <br />Individual <br />2020 <br />12/25/2021 <br />$387.00 <br />$19.35 <br />$20.30 <br />Q$426.65 <br />Total <br />$1.763.98 <br />I certify that pre Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska In determining tine amount shown lube due. <br />and that the taxpayer has failed to pay the amount due after demand. This Notice at State Tax Lien is an effective Nen and serves to continue the priority of <br />Vie Stab's interest in the affected property of Inc M.:Palor- <br />here r FrepemesSipna=era (/ <br />L z. ,t 4 &e <br />Authorized Signature <br />Revenue Anent 01/27/2023 (3081632-1208 <br />Tide Dole Phone Number <br />Revenue Supervisor 01/27/2023 <br />Title Date <br />4.+941g7. RA, o-ecre Stw•a•dea 449.192. Ra e.a013 <br />
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