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01, <br />NEBRA&K <br />God tiro. Great Service. <br />“M11,hun Of annul <br />202303414 <br />NE Sec of State - Robert B. Emen <br />Filing Document #: 2307000141-0 <br />Debtor Name: MICHAEL A ALVAREZ <br />Filing Date and Time 07/06/2023 11:43 AM <br />Pages: 1 <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 Ilen.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 />99272814 <br />Federal D Number <br />NO FEIN <br />Len Serial Number <br />12337434 <br />Len F Wttr+ <br />Social Security Number <br />XXX -XX -8656 <br />Spot ae'a 8oc•N Seaway Number <br />NO SPOUSE SSN <br />Resister of Deeds ■ County Clerk <br />Bane of n <br />June 26, 2023 <br />Lien Type: <br />©Corrected <br />County, <br />HALL <br />l:1 Original [Continuation <br />uslness flame and LOCatlon Address <br />Taxpayer Name and Mailing Address <br />MICHAEL A ALVAREZ <br />3963 W CAPITAL AVE <br />GRAND ISLAND NE 68803 <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 />2020 <br />11/02/2021 <br />$514.00 <br />$25.70 <br />$37.51 <br />$577.21 <br />Total <br />$577.21 <br />sign <br />here <br />1 certify that the Nebraska Department of Revenue has complied with the taws of the State of Nebraska In determining the amount shown robe due. <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien Ie an effective Nen and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />Preparer . <br />Aulhbrfxed <br />Revenue Agent 06/26/2023 (402)471-5712 <br />Title Date Phone Number <br />fJ Revenue Supervisor 06/26/2023 <br />igneturo The Date <br />4.484.1974 Rev. 6,2018 Supeeeedes 4.849.1974 f 8403 <br />