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Gocd Life. Groat Ser v,.. -e. <br />202301335 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2303000883-3 Pages: 1 <br />Debtor Name: JORGE ALVAREZ HECHAVARRIA <br />Filing Date and Time: 03/21/2023 11:19 AM <br />Notice of State Tax Lien <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 area 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 D© NOT WRITE W THIS SPACE <br />Nebraska ID Number <br />93076495 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12323307 <br />Len Fred With: <br />® Register of Deeds ❑ Coumy clerk <br />Social Security Number <br />XXX -XX -7823 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Data of Lien <br />March 10, 2023 <br />i <br />Lion type: <br />❑Corrected <br />County <br />HALL <br />14 original • Continuation <br />usaness Name and Location Address <br />Taxpayer Name and Mailing Address <br />JORGE ALVAREZ HECHAVARRIA <br />243 S LOCUST ST <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 />11/04/2020 <br />$634.00 <br />$168.66 <br />$121.07 <br />$923.73 <br />Individual <br />2018 <br />11/04/2020 <br />$901.00 <br />$241.42 <br />$139.84 <br />$1,282.26 <br />Individual <br />2019 <br />10/14/2020 <br />$1,517.00 <br />$227.55 <br />$140,48 <br />$1,885.03 <br />Individual <br />2020 <br />06/11/2021 <br />$900.00 <br />$64.91 <br />$52.37 <br />$1,017.28 <br />Individual <br />2021 <br />11/01/2022 <br />$1,347.00 <br />$83.56 <br />$41.52 <br />$1,472.08 <br />Total <br />$6,580.38 <br />I certify that the Nebraska Department of Revenue has compfted 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 after demand. This Notice of State Tax Lien is an effective ken and serves to continue the priority of <br />the State's interest in the affected properly of the taxpayer. <br />sign <br />here �°paarer's _Siggnnat re ``//� <br />�9GCQ <br />Revenue Agent 03/10/2023 (308)632-2272 <br />Title Date Phone Number <br />Revenue Supervisor 03/10/2023 <br />Authorized Signature Tide <br />Date <br />4-494.1974 Rev. 8.2018 Superset 4-949.1974 Rev. 8.2013 <br />