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Good Life. Great Service. <br />atiomon <br />202404172 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2408000627-3 Pages: 1 <br />Debtor Name: LUIS E PRADO RODRIGUEZ <br />Filing Date and Time: 08/28/2024 09:53 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 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 lien 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 />_.. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />42580870 <br />Federal ID Number <br />NO FEIN <br />lien Serial Number <br />12481623 <br />lien Feed With: <br />IX) Register ofDeeds 0county Clark <br />Sode1$storey Number <br />XXX -)(X•6$54 <br />Spouaek Social Security Number <br />NO SPOUSE SSN <br />Data of Lien <br />August 14, 2024 <br />UennType. <br />® Original 0 Continuation ❑Corrected <br />'.dounty <br />HALL <br />Business Name and Location Address <br />payer Name and NI5INng <br />LUIS E PRADO RODRIGUEZ <br />703 W 7TH STREET <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2015 <br />08/03/2022 <br />$.00 <br />$.00 <br />$70.49 <br />$70.49 <br />Individual <br />2016 <br />08/03/2022 <br />$2,300.00 <br />$595.00. <br />$672.99 <br />$3,567.99 <br />individual <br />2020 <br />08/03/2022 <br />$1,719.00 <br />$429.75 <br />$223.19 <br />$2,371.94 <br />individual <br />2022 <br />10/25/2023 <br />$1,044.00 <br />$261.00$69.65 <br />$1,374.65 <br />Total <br />$7,385.07 <br />sign <br />here <br />I certify that ecu Nebraska Department of Revenue hes complied with the Imus oI the State of Nebtaslm In determining the amount shown to be due, <br />and t the1.4 has failed • .. the amount due after demand. This Notice of Stale Tex Lien Is an effective San and serves to continua the pliorfty Cl <br />thy. ,. 'S i _�,.,..:1i . sty of the taxpayer. <br />(i � ll.re.11 L r Revenue Argent 08/14/2024 (402)471-0987 <br />",ArAllir <br />rye Date Phan, Number <br />�„ Revenue Supervisor 08/14/2024 <br />Title Date <br />H01.1974 Am. 9.2015 Supersedes 44494574 Ne,t 6400 <br />mired Signatum <br />