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N jrB+tDTJ KA - <br />Goa! Life. Greer Service. <br />202306386 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2312000233-2 Pages: 1 <br />Debtor Name: JOSE SERRANO <br />Filing Date and Time: 12/07/2023 11:09 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 alien for all property located <br />In the county end rights to property owned by the taxpayer or <br />acquired before the expiration of this Ilen.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 />91173205 <br />Federal <br />NO FEIN <br />0 Number <br />Lien Serial Number <br />12354637 <br />J,Jan Find With: <br />Social Security Number <br />XXX -X)(.6589 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />/7 Register of Deeds (]County Clerk <br />Date of Lien <br />December 5, 2023 <br />Llan Type: <br />® Original ©Continuation ['Corrected <br />County <br />HALL <br />ainese Name and Location Address <br />Taxpayer Name and Mailing Address <br />JOSE SERRANO <br />2755 O FLANNAGAN ST <br />GRAND ISLAND NE 68803 <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 />10/25/2022 <br />$1,067.00 <br />$55.99 <br />$72.35 <br />$1,195.34 <br />Total <br />$1.195.34 <br />I certify that the Nebraska Department of Revenue has complied with the teals of the State of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has failed to pay the amount due alter demand.This Notice of Slate TaxLienIs art effective Man and serves to continue the priority of <br />the State's interact to the affected property of the taxpayer. <br />sgn"t�.iSitQ. ILi- I Revenue Agent 12/05/2023 <br />here Prepar Tilie Date <br />vzwsii .,..- . Revenue Supervisor <br />mixed Signature J Tide <br />(402)471-5712 <br />Phare Number <br />12/05/2023 <br />Date <br />44941974 her. 64ole Supaside►4944-ta71 RW. 84013 <br />