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Good L,te. Greet S,Mce. <br />renn.wn er Sn- <br />202403634 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2408000032-1 Pages: 1 <br />Debtor Name: JOSE SAAVEDRA MARTINEZ <br />Filing Date and Time: 08/01/2024 09:26 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, and costs, <br />which are shown below, are 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 Ilan.Thle Ilan 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 leOT WRITE IN THIS SPADE <br />Nebraska ID Numbs <br />40402967 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12479749 <br />Lien Rled Wid <br />$aaW S.ourifi N <br />XXX -XX -0475 <br />Spoussrf Sod ! SaolsbY Number <br />NO SPOUSE SSN <br />®Reyleler of O.eds • cuxy clerk <br />Dale of Lion <br />July 25, 2024 <br />Donl,pe: <br />Dconacim1 <br />HALL <br />►:1 O, • CortNrn,wiotx <br />Business Name and Locat <br />axpayer Name and ncaMSS <br />JOSE SAAVEDRA MARTINEZ <br />1219 NORTH VINE 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 />06/16/2023 <br />53,072.00 <br />$246.60 <br />5211.72 <br />53,530.32 <br />Total <br />63,530.32 <br />sign <br />here <br />I certify that the Nebraska O.pvununl at R1w,ra hes caro.ed with the leen of Pu Seale of Nebraska In deternerano the .mount shown b be due. <br />and Wet the Impanel fru wad to pay 1M erasure der stet drnand. TNe Notic. of Sews Tan Lien leen efNdn Ren end swan b canine the Molly of <br />We Ynerew In to eflecid property of We taxpayer. <br />jtJ Revenue Agent Q7/25/2024 !4021471-6043 <br />Title Data Phone Nutter <br />Revenue Supervisor 07/25/2024 <br />Tie Cale <br />44i4.i11170 Ree a-2SIS a,oe,eeaee 40551//1 iw...2013 <br />