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N <br />Good Life. Greet SeMce. <br />«ea - <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2501000492-5 Pages: 1 <br />Debtor Name: STACY W NEZ <br />Filing Date and Time: 01/22/2025 09:33 AM <br />Notice of State Tax Lien <br />202500351 <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 aro shown below, are due from the taxpayer and remain <br />unpaid afterdemand.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 lien. This lien will expire and <br />become unenforceable 10 years after the date of recording it 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 IN THIS SPACE <br />Nebreauw ID Number , <br />40293025 <br />Federal ID Number <br />NO FEIN <br />Uen Serial Number <br />12695334 <br />Len Filed Whet: <br />® Register sDeeds QCounrOwlc <br />Social Security Number <br />XXX-XX-T267 <br />Spouse.* Social Seourdy Number <br />XXX-XX.4061 <br />Dole of Lien <br />January 8. 2025 <br />lien Types <br />Ig} prgw>N 0canliaMion ā¯‘Corroded <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Name ana aaa <br />STACY W NEZ <br />STACY A NEZ <br />2216 N SHERMAN BLVD <br />GRAND ISLAND NE 68803 <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 />2021 <br />10/03/2023 <br />$4,824,00 <br />$1,291.88 <br />$591.44 <br />$5,707.32 <br />Individual <br />2022 <br />12/08/2023 <br />$5,893.00 <br />$410,65 <br />$511.80 <br />$8,815.45 <br />Total <br />$13,522.77 <br />I clung Mel the Nebraska Department of Revenue An complied withthe laws of the Sena of Nebraska in determining the amount shown to be clue, <br />and that the taxpayer has lasted to pay the amount clue after demand,TNk Notice of State Tax Lien IS an OWN, lion and serve*** continue Me priority of <br />the Spa's Interest In the shaded property of the taxpayer. <br />sign , ,4&. <br />here eLeade 44,61e. <br />Authorized Signature <br />Revenue Anent <br />Tide <br />Revenue Supervisor <br />01/08/2025 (308Z632-1208 <br />Dap Phone Number <br />01/08/2025 <br />rue Dap <br />NW-te74 Re,: a-2ole Supersedes e-940-1ee Mc boots <br />