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Good Lite. Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2404000145-8 Pages: 1 <br />Debtor Name: YOANDY PEREZ <br />Filing Date and Time: 04/03/2024 11:02 AM <br />Notice of State Tax Lien <br />202401 41 9 <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 demend.These taxes area Oen for all property located <br />In the county and rights to properly owned by the taxpayer or <br />acquired before the expiration of this Oen.Thls sten will expire and <br />become unenforceable 10 years after the date of recording 11 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 INTHIS SPACE <br />Nebraska ID Nonuse <br />90416996 <br />Federal <br />NO FEIN <br />0 Number <br />Lin SON Number <br />12466064 <br />Us n Filed With: <br />Social Security Number <br />XXX -XX -58$7 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />►:1 Register of 0camtr0 <br />Dale of Uen <br />March 28, 2024 <br />1 - <br />Lien Type: <br />� (MOW © ©C� <br />County <br />HALL <br />nese name <br />Taxpayer Name and Malting Address <br />?DANDY PEREZ <br />1524 COVENTRY LN 65 <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 />2022 <br />11/03/2023 <br />$1,164.00 <br />871.10 <br />555.92 <br />81,291.02 <br />Total <br />81,291.02 <br />sign <br />here <br />1 certify that the Nebraska Department of Revenue hes complied with 10. taws of nue state of Nebraska In determining the amount shown to be due, <br />end that 10e taxpayer has tailed to pay me amount due alter dement. This Notice of Stale Tax Lien Is an effective Ian and serves to eantmue the priority of <br />the Stab% Interest in the affected property of the taxpayer. <br />Prepmetb Signature <br />Signal <br />Revenue Aoent 03/28/2024 (402)471-5768 <br />rola Dab Phone Number <br />Revenue Supervisor 03/28/2024 <br />rine <br />Date <br />414-1074 Rey.!4016 superwW 444e4e1a Ray, 64013 <br />