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NEBRAISFQV <br />Good Life. Great Service. <br />wrmnNM 01111r4 <br />202400856 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2402000875-4 <br />Debtor Name: GABRIEL SANCHEZ <br />Filing Date and Time: 02/28/2024 10:04 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />This Notice of State Tax !den 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 demend.These taxes area 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 den.This lien will expire and <br />become unenforceable 10 yews after the date of recording If no <br />continuation statement Is recorded on or prior to the expiration of <br />the previous Ikon or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nldtneerut ID Number <br />48446206 <br />Federal ID slumber <br />NO FEIN <br />tier Sertsl Number <br />12461909 <br />Lien feed lNMr <br />OnApla+arofOaeds ©Couravcnkrk <br />Social Bea dly Number <br />XXX lOC-1181 <br />Spouse's Soda) Sea,rky Humber <br />NO SPOUSE SSN <br />Date of Lien <br />February 22, 2024 <br />Lien Type: <br />Mohr Qcorenuason <br />Qcaneaed <br />County <br />HALL <br />$293,00 <br />Business Name and Location <br />Taxpayer Naas and Mating Address <br />GABRIEL SANCHEZ <br />PO BOX 584 <br />GRAND ISLAND NE 68802 <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 />06/05/2023 <br />$1,172.00 <br />$293,00 <br />$92.15 <br />$1,557.15 <br />Individual <br />2022 <br />05/05/2023 <br />$65.00 <br />$18.25 <br />$10.15 <br />$93.40 <br />Total <br />$1,650.55 <br />si <br />here r <br />I certiy eat <br />t thea <br />DepoOmers of Revenue has sampled wan tea laws or tie Stank of Nebania so deWmblbq the amount shown b be due. <br />due ear demand. This Notice of Stale Tax Use to an Meds, Pen end wanes b continue the priorly of <br />Revenue Agent Q2022/2024 (402)471-0987 <br />tura Dee Dote Wane Number <br />'moi , ,tomes �,•r Revenue Supervisor 02/22/2024 <br />AoTorixed Signature ) Tris DAMJ 4-494-1104ta,ca•20111swwmw« 4441,11;74Roc <br />