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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2501000493-4 <br />Debtor Name: FLORIDALMA SANDOVAL <br />Filing Date and Time: 01/22/2025 09:34 AM <br />Pages: 1 <br />Good Life. Great Service. <br />Notice of State Tax Lien <br />202500352 <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 an 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 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 INTtaS SPACE <br />Nebreelu 10 Number <br />38742820 <br />Federal 10 Number <br />NO FEIN <br />Lien SSital Number <br />12595399 <br />tan Fled with <br />On Reeiear or Deeds ■ Countyd erl <br />So01Y Security Number <br />XXX-XX-0199 <br />Spousers SooW Security Number <br />NO SPOUSE SSN <br />Des of Use <br />January 3, 2025 <br />t .n lloor <br />OM odronet IDcaetlaewton ❑CQnected <br />County <br />HALL <br />tiuisiness Name and Location Address <br />FLORIDALMA SANDOVAL <br />522 W 16TH 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 />2019 <br />04/04/2024 <br />$.00 <br />$83.65 <br />$248.81 <br />$332.46 <br />individual <br />2022 <br />05/09/2023 <br />$398.00 <br />$19.90 <br />$34.57 <br />$452.47 <br />individual <br />2023 <br />07/09/2024 <br />8646.00 <br />$83.62 <br />$23.72 <br />$753.34 <br />Total <br />$1,538.27 <br />*t, <br />Signature <br />penmen of Revenue has tWnplied with the laws a1 the State of Nebraska in determining the amount Mown to be due, <br />pay the amount due stir dsmend.This Notice of State Tax Lien is an effective ten and serves to continue the platy of <br />ofthetaxpayer. <br />Revenue Agent 01/0812025 <br />TAle Dais <br />Revenue Supervisor <br />(402)471-0987 <br />?hone Number <br />01/08/2025 <br />ma Date <br />e ar-1a74 Rea $swe twpeneees a44a-191+ RK 8404 <br />