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U�BRA SKA- <br />Goad Life. Great Service. <br />202401510 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2404000370-2 Pages: 1 <br />Debtor Name: VINCENT MENDEZ <br />Filing Date and Time: 04/09/2024 10:33 AM <br />Notice of State Tax Lien <br />This Notice of Stat. 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 ere shown below, ere due from the taxpayer and remain <br />unpaid after demand.These taxes are a 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 lien. This lien will expire and <br />become unenforceable 10 years atter 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 CO NOT WRITE It/ THIS SPACE <br />Nelms ska tD Number <br />13408496 <br />Federa110 Number <br />821268132 <br />Lin 8srle Number <br />12422988 <br />Lion Filed With: <br />® R.osior of Deeds 0 County Cleric <br />Social Security Number <br />XXX -XX -5058 <br />Spouse* Soda, Security Number <br />NO SPOUSE SSN <br />Date of Llan <br />March 21, 2024 <br />Lien Typo: <br />0Coneetsd <br />County <br />HALL <br />i:1 odor* 0Catrnweon <br />Business Nate and Location Address <br />Taxpayer Name and Mailing Address <br />VINCENT MENDEZ <br />MENDEZ ENTERPRISES LLC <br />2404 WEST LINCOLN HWY <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 />Sales <br />01/01/2020 - 09/30/2020 <br />12/01/2020 <br />7,556.41 <br />900.57 <br />1,454.53 <br />.00 <br />9,911.51 <br />Sales <br />10/01/2020- 12/31/2020 <br />11/01/2021 <br />.00 <br />430.76 <br />118.97 <br />.00 <br />549.73 <br />Sales <br />01/01/2021 -03/31/2021 <br />11/01/2021 <br />.00 <br />.00 <br />63.80 <br />.00 <br />63.80 <br />Sales <br />04/01/2021-06/30/2021 <br />11/01/2021 <br />1,467.30 <br />344.87 <br />178.71 <br />.00 <br />1,990.88 <br />Sales <br />07/01/2021 -09/30/2021 <br />09/17/2022 <br />3,479.85 <br />574.00 <br />239.69 <br />.00 <br />4,293.54 <br />Sales <br />10/01/2021 - 12/31/2021 <br />09/17/2022 <br />1,006.91 <br />574.00 <br />361.16 <br />.00 <br />1,942,07 <br />Sales <br />01/01/2022.01/31/2022 <br />09/17/2022 <br />433.88 <br />191.50 <br />7.24 <br />.00 <br />632.62 <br />Sales <br />02/01/2022 - 02/28/2022 <br />09/17/2022 <br />433.88 <br />191.50 <br />7.24 <br />.00- <br />632.62 <br />Sales <br />03/01/2022-03/31/2022 <br />09/17/2022 <br />377.47 <br />191.50 <br />6.30 <br />.00 <br />575.27 <br />Sales <br />04/01/2022.04/30/2022 <br />09/17/2022 <br />350.41 <br />191.50 <br />77.99 <br />.00 <br />619.90 <br />Total <br />21,211.94 <br />I certify that the Neonate Department of Revenue has complied with the laws of Bre State of Nebraska in determining the amount shown to be due. <br />end that the Taxpayer has haled to pay the amount due atee demand. This Nodes of State Tex Lien Is an effective lien and serves to continue the priority of <br />the State's krtereet in the affected property of She taxpayer. <br />sign pSu ?Wren#* <br />here 1„, <br />Pressarlifis t�ra p <br />Author' Signature <br />Revenue Senior Agent <br />rise <br />Revenue Supervisor <br />03/14/2024 402-4714067 <br />Dais <br />4/5/2024 <br />Ole <br />Oaf. <br />4494-1974 Res 420111 Supersedes 445.1974 Am. 42012 <br />