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Good Life. Great Service. <br />M„wltiMp *WOW. <br />NE Sec of State • Robert B. Evnen <br />Filing Document #: 2409000652-8 <br />Debtor Name: ELVIS M CORDOVA PEREZ <br />Filing Date and Time: 09/27/2024 09:17 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />202404774 <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 llen.Thls 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 />PLEASE DO NOT WRITE INTHIS SPACE <br />Nebraska ID Number <br />88563154 <br />Federal ID Number <br />NO FEIN <br />Uer Stolid Number <br />124862T8 <br />Lien Feed With: <br />X] SPOON of Deeds 0Ctr ifsai <br />Sochi' SectettyNumber <br />XXX-XX.8760 <br />Spouse's Sods! Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />September 18, 2024 <br />Lien Type: <br />®oi+ew 0 Continuation 0Cen«ted <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Nailing Address <br />ELVIS M CORDOVA PEREZ <br />906 W KOENIG ST <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 />0510512023 <br />$954.50 <br />$78.65 <br />$103.21_ <br />$1,136.36 <br />Total <br />$1,136.36 <br />I certify that She Nebraska Department of Revenue has soeWliedwith the laws dem State of Nebraska in dalerrnWrep ere amount dawn to be due. <br />and that the taxpayer hes fatted to pry the amount due star demand. This Notlde of State Tar lien Is an ataelM Ilan and serves In continue the priority of <br />aro State's Interest in the erected property of the taxpayer. <br />Sign ?e.: <br />here �" signatuw <br />Lida/110414. <br />Authorized Signature <br />Revenue Agent <br />Tide <br />Revenue Supervisor <br />09/18/2024 (308)632-1208 <br />Oats Phone Number <br />09/18/2024 <br />Title ate <br />4494.1874 Ree 841118 meperraeee 4440.1874 Raw &zetS <br />