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202400052
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1/3/2024 3:46:20 PM
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1/3/2024 3:46:19 PM
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202400052
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NFBR <br />Good Lte, Great Service. <br />lM, Mx-V,M <br />202400052 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2401000056-8 Pages: 1 <br />Debtor Name: HECTOR M CARBAJAL <br />Filing Date and Time: 01/03/2024 09:16 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 woes 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 />Nebraska ID Number <br />46724095 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Ntxrbar <br />12356017 <br />Lin Feed With: <br />Social Security ntumbar <br />XXX -XX -8696 <br />Spouse's Social Security Number <br />XXX-XX48073 <br />® Register of Deeds I. county Caen <br />Date of Lien <br />December 27, 2023 <br />t <br />Lien Type: <br />IX] 011011 Qconenuatton ©corrected <br />County <br />HALL <br />ustnes. Nam, and location Address <br />Taxpayer Name and Melling Address <br />HECTOR M CARBAJAL <br />MEGAN ANN MARIE CARBAJAL <br />4116 PRAIRIE RIDGE LN <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 />2022 <br />07/28/2023 <br />$1,980.65 <br />$99.03 <br />$69.48 <br />$2,149.14 <br />Total <br />$2,149.14 <br />sign <br />here <br />I Cartify that the Nebraska Deportment of Revenue has compiled with the laws of Ste State of Nebraska In determining the amount shown to be due. <br />and that the taxpayer rtes IWted to pay the amount due after demand. This Notice of State Tax Lien Wan effective Nen and serves to continue the priority of <br />the Slattte interest in the seeded property of the taxpayer. <br />z,44. K4t..E2u'Ea za! <br />Signettr, <br />lu <br />Revenue Aoent 12/27/2023 (308)632-1206 <br />Title Date Phone Number <br />Revenue Supervisor 12/27/2023 <br />Title Date <br />4-454-1974 Rev. a x0te Bupanadne4 49.1974 Rea [0011 <br />
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