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202405569 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2411000130-6 Pages: 1 <br />Debtor Name: LUIS M BAHENA MARTINEZ <br />Filing Date and Time: 11/04/2024 10:34 AM <br />UEB A.SKA, <br />Gerd Lite. Great Service,. <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 Ilen will expire and <br />become unenforceable 10 years after the date of recording 11 no <br />continuation statement is recorded on or prior to the expiration of <br />the previous iten or continuation statement <br />Pt.EASE oo NOTWRITE is THIS SPACE <br />Nab a a ID limber <br />92654061 <br />Federtr lD Nugtbet <br />NO FEW <br />Lien Peril Nye <br />12490705 <br />Wn Flat Mk <br />i3 Register al Deeds ❑Ccertb <br />Sodsl secwlty Nua*er <br />XXX.XX-1566 <br />Spouse's Sochi Secuty *saber <br />NO SPOUSE SSN <br />Dale of Lien <br />October 23, 2024 <br />Wntyps <br />LEOrIgInal ❑need OConeelee <br />County <br />HALL <br />Business Nemo and Location Address <br />Taxpayer Name and MallrytAddres. <br />LUIS M BAHENA MARTINEZ <br />104 E 16TH ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penally <br />ints&est <br />Costs <br />Total Due <br />Individual <br />2022 <br />05/23/2023 <br />$403,00- <br />' $20.15 <br />` $30.75 <br />$463.90 <br />Individual <br />2023 <br />06/14/2024 <br />$200.00 <br />$20.00 <br />$5.23. <br />$225.23 <br />` Total <br />$679.13 <br />a <br />h <br />d Revenue has rumpled wilt the lave al the SMe d NMMssY* n,d.OMmhYnp M enure atom b bed" <br />payMoment flue NNrdeetand.TfdeNonaalShoeTaxLNnIswIeiclNeeenendservesloconlaalMpdo*Qrd <br />power d M "serer, <br />Rfrve ue Agent <br />Tfw <br />Revenue Supervisor <br />(110247)-0987 <br />Pilate Number <br />10/23/2024 <br />Tile Date <br />4404404 %Mr ite* Semmes4aee4eX secs nmta <br />