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NEI P 06t644A- <br />Good Lite. Great Service. <br />0114.1“.111.11...mummy <br />202401458 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2404000254-5 Pages: 1 <br />Debtor Name: EDGAR HERNANDEZ <br />Filing Date and Time: 04/05/2024 10:28 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Uen 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.Ttlese taxes are a lien for ell property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Ien.This lien Mfg expire end <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prlor to the expiration of <br />the previous lien or continuation statement <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Date of <br />Assessment <br />Nebmdla ID Number... <br />47825413 <br />Federal <br />NO FEIN <br />u) oiu ve.r <br />Costs <br />Lien Serial Number <br />12466573 <br />iter Flied With:. <br />!XI moss or area Qcourtly oleic <br />Rectal Security Number <br />XXX-XX.5339 <br />*Wreak Social Seaway Number <br />NO SPOUSE SSN <br />51,514.00 <br />Dale onion <br />April 1, 2024 <br />Uen1dpe <br />Odd <br />Dowdy <br />HALL <br />Individual <br />).1 orleieal 0 <br />I Business Name end Location Address Taxoarer Name and tdelllnn Address <br />I <br />EDGAR HERNANDEZ <br />1901 PLUMCREEK PKWY 5 <br />LEXINGTON NE 08650 <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 />2016 <br />12103/2022 <br />51,514.00 <br />5378.50 <br />5415.00 <br />$2,307.50 <br />Individual <br />2017 <br />12/03/2022 <br />55,256.00 <br />51,314.00 <br />51,283.04 <br />57,853.04 <br />Total <br />510,160.54 <br />1 certify that the Nebrada Department al Revenue has complied *eh *slaws of **State of Nebndepin determining Ow amount shown to he due, <br />and that the taxpayer las tailed lo pay the anrwmt due ever demand. This Notice of Stam lax Lien ta an eataadve den and serves to continua the pdoriyof <br />the Slates interest M the seeded property of the taxpayer. <br />sign 7-444, <br />here r ProPlies &veto* <br />Lza.i 446h, <br />Authorized Signature <br />Revenue fjgert 04/01/2024 (306)632-1201 <br />Tide Date Phone Number <br />Revenue Supervisor 04/01/2024 <br />Tale Dale <br />4.484.8074 rat belle Supae.daa-040.1aNr Aft e0ot3 <br />