Laserfiche WebLink
" <br />toad tee. Great St v.co. <br />a,waewonerar,aae <br />2023041 69 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2308000493-9 Pages: 1 <br />Debtor Name: FRANCISCO J GOMEZ <br />Filing Date and Time: 08/15/2023 10:24 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 Tex <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 />. <br />Nebraska ID Number <br />48614965 <br />Federal D Number <br />NO FEIN <br />Lien Serial Number <br />12342478 <br />Lien Feed lath. <br />® Register a Deeds ❑County <br />Soleal Security Number <br />XXX -XX -9868 <br />�� Social Numb <br />NO SPOUSE SSNer <br />Date of Uen <br />August 9, 2023 <br />t <br />Lien Type: <br />❑Corrected <br />County <br />HALL <br />f 1 O +Sinal ❑ Continuation <br />us netts Name <br />oration address <br />Taxpayer Name and Mailing <br />FRANCISCO .1 GOMEZ <br />1804 S GARLAND ST <br />GRAND ISLAND NE 68803 <br />d <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 />2019 <br />11/29/2022 <br />$337.00 <br />$16.85 <br />$38.22 <br />$392.07 <br />Individual <br />2020 <br />11/29/2022 <br />$349.00 <br />$17.45 <br />$27.57 <br />$394.02 <br />Total <br />$788.09 <br />I certify that the Nebraska Department of Revenue rias complied ebb the lave of the State of Nebraska M determining the amount shown to be due, <br />and that the taxpayer has felted to pay the amount due alter demand. This Notice of State Tax Lien Is an effective ben and serves to continue the priority of <br />the Staten interest in the affected property of the taxpayer. <br />sign 5' 7 Revenue Agent <br />here r Preparessgneture <br />zed Signature <br />This <br />Revenue Supervisor <br />08/09/2023 (308)632-1208 <br />Dale Prone Number <br />08/09/2023 <br />Title Date <br />4-4944874 Rea 8.2018 Supwaeeaa 4448.1974 Rev. 84013 <br />