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NFB <br />Goo Life. Great Service. <br />611.011411141' H MMMM <br />202306369 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2312000135-1 Pages: 1 <br />Debtor Name: YANQUIEL GAMEZ MACIAS <br />Filing Date and Time: 12/06/2023 08:37 AM <br />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 shorn 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 Iien.Thl s Nen 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 00 NOT WRITE INT IS SPACE <br />Nebraska lib Number <br />89490762 <br />federal 0 Number <br />NO FEIN <br />Lien Serial Number <br />12364327 <br />Lien Filed With: <br />Soda* Security Number <br />XXX -XX -5951 <br />Spouse's Social Security Number <br />NO SPOUSE 5SN <br />i i Register of occas 0 County clerk <br />Date of tJen <br />November 30, 2023 <br />Lien Type: <br />0 Conected <br />County <br />HAL. <br />i f °done a Cominuafbn <br />Business Name and Location Address <br />Taxpayer Name and Meiling Address <br />YANQUIEL GAMEZ MACIAS <br />803 VINE ST <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 />2021 <br />05/10/2022 <br />51,852.89 <br />5141.40 <br />5144.38 <br />52,138.67 <br />Individual <br />2022 <br />05/05/2023 <br />$458.00 <br />522.90 <br />514.37 <br />$495.27 <br />Total <br />52,633.94 <br />sign <br />here <br />1 certify that dae Nebraska Department of Revenue has compiled with the team of the Stat! of Nebraskan determining the amount Bharat to be due. <br />end that the taxpayer has failed to pay Me amount due alter demand.TMs Notice of State Talo Lien is an effective Wan and serves to continue the Wally of <br />Me S1at9's Merest In the seeded property of the taxpayer. <br />Preparer's Signature <br />horized <br />Revenue Anent 11/30/2023 (402)471-0987 <br />Tide Date Phone Number <br />Revenue Supervisor 11/30/2023 <br />Tide Date <br />4.4947971 Rex 6-2019 S p:modes 4449.1974 RK 42013 <br />