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Good Life. Groot Sconce. <br />NE Sec of State - Robert B. Evnoi <br />Filing Document #: 2404000146-7 <br />Debtor Name: LUIS R FONSECA MONJES <br />Filing Date and Time: 04/03/2024 11:05 AM <br />Pages: 1 <br />Notice of State Tax hien <br />202401420 <br />This Notice of State Tax Len 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 end remain <br />unpaid after demsnd.These taxes are a lien for alt 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 />contlnuation statement is recorded on or prior WIN) expiration of <br />the previous lien or continuation statement. <br />SASE DQ NOT WRrrE a THI$ SPACE <br />Nebraska ID Number <br />90963873 <br />Federal ID NwMAr <br />NO FEIN <br />Lien Serial Number <br />12466058 <br />Ller1 Med Web: <br />On nepkte a Deere 0 coutuyclrr* <br />Social Seaxky Number <br />XXX -XX -3223 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Doi of Llan <br />March 28. 2024 <br />Liao `Type: <br />®w461r 0 Conlinuotion 0 Corrected <br />Gounly <br />HALL <br />Business Name and Location Address <br />Taxpayer Naas and Mailing Address <br />LUIS R FONSECA MONJES <br />2103 N SYCAMORE STREET <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 />05105/2023 <br />3929.64 <br />378.45 <br />362.16 <br />31,070.24 <br />Total <br />31,070.24 <br />sign <br />here <br />I certry stat the Nebraska Department of fierenue has complied wah the Iwo of the State of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has faded to pay the amount due atter demand. This Notice of Stale Tax Lien l an eflectiw lisp and tomes to continua the priority of <br />Me Stab's Interest in the affected properly of the taxpayer. <br />Revenue Aaent 031282024 (4021471-5788 <br />Tab Dab Phone Number <br />Revenue Supervisor 03/28/2024 <br />Tab Dale <br />w90 -laze Res. M2016 Supen4Ne 4.840-1e74 R. 04013 <br />