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Good Lire. Greet Service. <br />WM.111.1 M eeV.Iit <br />202402627 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2406000341-8 Pages: 1 <br />Debtor Name: JUAN L MARTINEZ BERRIOS <br />Filing Date and Time: 06/12/2024 10:45 AM <br />Notice of State Tax Lien <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, end costs, <br />which are shown below, are duo from the taxpayer and remain <br />unpaid after demand.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 Iien.This then will expire and <br />become unenforceable 10 years after 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 DO NOT WRITE IN IS SPACE <br />N.Was4 D Number <br />93751338 <br />Federal ID Number <br />NO FEIN <br />Liam Serial Number <br />12475214 <br />Um Filed wan: <br />sad54 see uray Number <br />XXX -XX -7986 <br />Spouse's Saw s.euny Numner <br />NO SPOUSE SSN <br />t l ReWeter at owae ❑ <br />Nee of lien <br />June 4, 2024 <br />Urn TAI; <br />®Odipai DConrnuation ❑Corrected <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Nemo ono IKSIAng <br />JUAN L MARTINEZ BERRIOS <br />APT 46 <br />415 S CHERRY ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period l <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2016 <br />04/16/2023 <br />$1,237.00 <br />$309.25 <br />$349.82 <br />$1,896.17 <br />Individual <br />2017 <br />04/1612023 <br />$362.00 <br />$90.50 <br />$91.54 <br />$544.04 <br />Total <br />$2,440.21 <br />sign <br />here <br />I car* tel the N.b,asla, Department of Revenue has compiled with the Own of tw State of Nebrsib In d.bntimr g the amount shown 10 be due, <br />the taxpayer las laded to pay the amount duo alter demand. ThIa Notice of Mate Taut Lien k en elledru ren and eaves In controle the pMrky d1 <br />Interest 41 , «... property d the to payw. <br />revenue Sertiof A ant <br />axe <br />Revenue Supervisor <br />06/04.1024 (402)471-4339 <br />Date Phone Number <br />06/04/2024 <br />DIr <br />4494.101 nets -Rete rrprsedee 4e40,1e71 Rol. 44013 <br />