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Good Life r3raet Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2401000901-9 Pages: 1 <br />Debtor Name: CHRISTIAN C MUNOZ <br />Filing Date and Time: 01/30/2024 09:48 AM <br />Notice of State Tax Lien <br />202400450 <br />This Notice of Stats 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 area lien for ail property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This Ilan 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 />90584643 <br />Federal ID Number <br />NO FEIN <br />Lien Barter Number <br />12458733 <br />I.ten Fred Witt: <br />!KJ Register of Deeds ['Cola mlY <br />Sobel Security Number <br />XXX -XX -3761 <br />Spouse's Social Smoky Number <br />NO SPOUSE 55N <br />Data ci Lien <br />January 25, 2024 <br />t.Ian Type: <br />at) Od na 0 Contrrandon 0 Corrinted <br />County <br />HALL. <br />Business Name and Location Address <br />avower Name ane Malang Address <br />CHRISTIAN C MUNOZ <br />816 CURTIS ST APT 1 <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 />05/05/2023 <br />$1,637.00 <br />$100.56 <br />$87.18 <br />$1,804.74 <br />Total <br />$1,804.74 <br />sign <br />here <br />t certify that the Nebraska Department of Revenue has complied with the taws of the State ci Nebraska In determining the amount ehovn to be due, <br />and that the taxpayer hes failed to pay the amount due alter demand. Mid Nodes of Stade Tax Um Is an stscdve Men and *ems to continue the priority * <br />the State's Interest in the elected property of the taxpayer. <br />// Revenue Agent 01/25/2024 (402)471-0987 <br />Preparer's Signature e.�� Tide DaPhone te Number <br />Revenue Supervisor 01t25/2024 <br />zed <br />Wonted Title Dais <br />4-4tw4en nes 11•20111 Suouaeer 4.40-1,74 Na 64013 <br />