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Good L:fe, Great Sara,. <br />OVI.11,144167 01,11.1110411. <br />202304089 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2308000326-8 Pages: 1 <br />Debtor Name: ROBERTO C VALDEZ LEON <br />Filing Date and Time: 08/10/2023 10:20 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.Thls 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 />93181936 <br />Federal DNumber <br />NO FEIN <br />Lien Serial Number <br />12342007 <br />Lien Flied With: <br />Social Security Number <br />XXX -XX -8142 <br />Spoutre's Social Security Number <br />NO SPOUSE S <br />►:4 Register of Deeds 0 County Clerk <br />Date of Len <br />August 4, 2023 <br />Lien Type: <br />®orpinal 0Conhwation °Convected <br />COunty <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ROBERTO C VALDEZ LEON <br />376 N ELM ST APT NUM 1 <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 />2020 <br />06/11/2021 <br />$1,172.00 <br />$58.60 <br />$91.80 <br />$1,322.40 <br />Total <br />$1,322.40 <br />I certify that the Nebraska Department of Revenue hes complied with the laws of the State of Nebraska In determining the amount shown ta be due, <br />and that the taxpayer has felled to pay the amount due after demand. This Notice of State Tex Len Is an effective lien and serves to continue the priority of <br />the Slate's interest in the affected property of the taxpayer. <br />sign y <br />here,,er__ ``mat.urel !! <br />g. <br />Authorised Signature <br />Revenue Agent 0810412023 (308)832-1210 <br />Title Date Phone Number <br />Revenue Supervisor 08/0412023 <br />Title Dab <br />4.494.1974 Pmff 2Wt SlpemidN 444.1074 R.484013 <br />