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NEBRASKA - <br />Good Line. Great Service. <br />202306128 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2311000600-1 Pages: 1 <br />Debtor Name: MIGUEL 1 POL <br />Filing Date and Time: 11/20/2023 09:55 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, ingest, 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 />Date of <br />Assessment <br />Nebraska ID Number <br />44603029 <br />Federal ID Number <br />NO FEIN <br />interest <br />Lien Sadie Nkmlrer <br />12352515 <br />Lien Red With: <br />Social Security Number <br />XXX -XX -0029 <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />11/20/2022 <br />i7 Register of Deeds 0 weary Met <br />Date of Lien <br />November 13, 2023 <br />Lien Typo. <br />E original 0 cookwagon 0 coneoxt <br />County <br />HALL <br />.. <br />r <br />usinees Name and Location Address <br />axpayer Name and fJlaibng <br />MIGUEL J POL <br />1316E 5TH ST APT A <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 />2015 <br />11/20/2022 <br />$793.00 <br />$198.25 <br />$225.95 <br />$1,217.20 <br />Individual <br />2016 <br />11/2012022 <br />$834.00 <br />$208.50 <br />$212.61 <br />$1,255.11 <br />Individual <br />2017 <br />11120/2022 <br />$863.00 <br />$215.75 <br />$194.12 <br />$1,272.87 <br />Individual <br />2018 <br />11/20/2022 <br />$967.00 <br />$241.75 <br />$182.94 <br />$1,391.69 <br />Individual <br />2019 <br />11/20/2022 <br />$933.00 <br />$233.25 <br />$118.10 <br />$1,284.35 <br />Individual <br />2020 <br />11/20/2022 <br />$993.00 <br />$248.25 <br />$91.52 <br />$1,332.77. <br />Total <br />$7,753.99' <br />I certify that the Nebraska Department of Revenue has complied with the taws of dte 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 Nodoe of State Tax Lien is an effective lien and serves to continue the priority of <br />the Stales interest in the affected properly of the taxpayer. <br />sign 6 T>autca:Aci it.ci <br />here,ekl. <br />Revenue Assent <br />TWO <br />11/13/2023 (308)832-1206 <br />Date Phone Number <br />Revenue Supervisor 11113/2023 <br />Authorized Signature Title <br />Date <br />4404.1074 nK&Ibis Supeiaaaes 494a-1974 Ram. alone <br />