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Good t =fie. Great Service. <br />E.M1"M6Nf er 11£KN04 <br />202303483 <br />NE Sec of State - Robert B. Emen <br />Filing Document #: 2307000218-1 Pages: 1 <br />Debtor Name: LAZARO FIGUEROA RODRIGUEZ <br />Filing Date and Time: 07/10/2023 11:07 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 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 10 Number <br />91850665 <br />F 11 Number <br />NO FEIN <br />Lien Serial Number <br />12338169 <br />Lien Fund With: <br />Social Securty Number <br />XXX -XX -1076 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />11 Reylaterof Deady 0C0untyClenc <br />Date of Lien <br />July 3, 2023 <br />Lien Type: <br />0 Corrected <br />County <br />HALL <br />)1 Original 0Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />LAZARO FIGUEROA RODRIGUEZ <br />1107 N JEFFERSON ST <br />LEXINGTON NE 68850 <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 />11/29/2021 <br />$918.00 <br />$47.15 <br />$160.39 <br />$1,125.54 <br />Total <br />$1,125,54 <br />I certify that tno Nebraska Department of Revenue has compeed wMM Me laws of the State of Nebraska in determining the amount shown to be due. <br />and Mat the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax lien is en effective Nen and serves to continue the priority of <br />the Stabs mereessstttiinn the affected property of Me taxpayer. <br />n <br />shi a Ps^'Sna1Ufe ,a V,4 TRevenue Agent <br />�e6& Revenue Supervisor <br />07/03/2023 (308)632-1208 <br />Dale Phone Number <br />07/03/2023 <br />Authorized Sgnature Title <br />Date <br />4.494.19)4 her. a -Beta $ePeraee®s 4.44$.1974 n4484013 <br />