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.i7.PFYT.'77'tA <br />Good Life. Great Service <br />202403637 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2408000042-8 Pages: 1 <br />Debtor Name: KYLE J VALLEJO <br />Filing Date and Time: 08/01/2024 09:33 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 Ilen.Thls lien wIN 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 Ilen or continuation statement <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska IVutber <br />94005734 <br />FedaPl o Number <br />NO FEIN <br />Use Serial Number <br />12480157 <br />alert EiedWittc <br />On ].cors a Deeds 0 County crIettt <br />Social Security Number <br />XXX -XX -2475 <br />apousfl Social Sanity Number <br />NO SPOUSE SSN <br />Date of Llan <br />July 29, 2024 <br />U.n 1%W: <br />® odors! ❑brad^ ❑Cot *1 <br />FAway <br />HALL <br />Business Herne and Location Address <br />axpayer <br />KYLE J VALLEJO <br />2715 STEWART DRIVE <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 />2016 <br />09/28/2023 <br />$407.00 <br />$101.75 <br />$118.19 <br />$626.94 <br />Individual <br />2017 <br />09/28/2023 <br />$1,633.00 <br />$408.25 <br />$425.25 <br />S2.466.50 <br />Total <br />$3,093.44 <br />sig <br />her <br />I certify Met the Nebnatu Depantnanl of Revenue has compiled wenn its lows of the Stale of Nebraska N dineoreemp the .mount shown to W due. <br />and that the leepayer has to pet the amount due ales demand:Ms NOW or Stn. Tax Lien I. an tl cte len ant tsetse to amblers its priority d <br />the <br />.11 <br />a: +property 4t the envied... 111.111111Ige,411 <br />Revenue Agent 07/29/2024 (4021471-0987 <br />Tele Dye Phan. Number <br />Revenue Supervisor 07/29/2024 <br />T[lle Dale <br />44414./575 nM.170111Summed.. 44404074 neea4013 <br />