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NE Sec of State - Robert B. Evnen Filing Document #: 2505000209-3 Debtor Name: EDWIN E GARCIA-MENCIA Filing Date and Time: 05/07/2025 09:47 AM Pages: 1 Good Loh. Gr.sLServica Notice of State Tax Lien This Notice of State Tax Lien is Issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties. Interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this IIen.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement PLEASE DO NOT WRITS IN IS SPACE Nebraska fD Numbs - 89786254 Peeking ID Number NO FEIN Usn S.risi PMrmbu 12504799 Use RNd YVilh: MI Register of Made ❑ County Clerk Social Slowly NYmbir XXX.XX-4595 Spouse's nodal S%aw ly Number NO SPOUSE SSN DM of Uen April 23, 2025 Uan Tip.; ®odor<w ❑cAmwe,wofr ❑corrected County HALL Business Name and Location Address Taxpayer Name and Mailing Address EDWIN E GARCIA-MENCIA 1275 10TH RD CHAPMAN NE 68827 Tax Program Tax Period Date of Assessment Tax Penalty ' interest Costs Tel Due individual 2021 05/04/2022 $594.47 $147.60 $190.89 $932.98 Individual 2023 12/06/2024 $14,583.00 $1,061.15 $880.57 518,524.72 Total $17,457.88 of Revenue has carpWd wet bus as.e at an sus of Nebraska irk d.f.miio M..mare shown to be due. .mane OW ear derand, This Holies of State Tee Use Is an NINON* Men and mama to eorl us M. pawky of of Its taspyre Revenue Assent Tilts 04/23/2025 1402)471-0987 Oats Phan Number Revenue Supervisor 04/23/2025 TUN Der 44M•1104 Ran 114014 fiewwM 444110e74 Rwta2013