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202406159 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2412000083-8 Pages: 1 <br />Debtor Name: JESUS MEDINA RABELQ <br />Filing Date and Time: 12/04/2024 09:23 AM <br />NEBRAErt <br />Good Lit. Gnat Sera ce. <br />1111.111.1111R w+avw <br />Notice of State Tax Lien <br />This Notice of State Tax Lion 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, me due from the taxpayer and remain <br />unpaid after demand.These taxes area lien for all property located <br />in the county end rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This Nen 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 arms SPCE <br />N.6nda.10 Number <br />48731833 <br />Fedora ID NuMot <br />NO FEIN <br />Lien eettrl Nlaaler <br />12493068 <br />men FiW wwc <br />A.WsmraDwrb ❑coafycar <br />Soc4I ttaetAty NaedaK <br />XXX-XX-2850 <br />apomueb Sod sscumy lhanaber <br />NO SPOUSE <br />D.I. a lien <br />November 14, Z024 <br />Lan Type: <br />❑Cormfmw.Ilon Ocoasaw <br />Carey <br />HALL <br />Buslness Nana and Location Address <br />Taxpayer flame and Mailing Address <br />JESUS MEDINA RASELQ <br />112 E KOENIG ST <br />GRAND ISLAND NE 88801 <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 />07/26/2023 <br />$1,718.00 <br />$105.80 <br />$138.10 <br />$1,957.90 <br />$1,957.90 <br />Total <br />I ertlly that the Nebnala Department of norm has oonpled aih the lent of tie Sri of Netreda In daMmhaetp the motet dawn b be dud <br />end that the tawayar has Wed b pay the emoua doe der derma. TN. Nodes a Sale Tau Uen la on weeclho Ilan end ewes b oowYtr the panty or <br />the Sale• Interest h the Weobd proprty of the lemv nr. <br />Sign 6 .ea6au-442, geut44, Revenue Agent <br />here r Pfsprer. spawn.%4 4 Revenue Supervisor 11/14/2024 <br />Shinneda <br />11/14/2024 (308)832-1203 <br />Oen Phone lumber <br />Mkt Dale <br />4.e1.1e74 tea eaSta wmaw.wn.444111eN wr c 44013 <br />