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202504472 <br />NE Sec of State - Robert B. Eynon <br />Filing Document #: 2508000536-1 <br />Debtor Name: TIENDA CENTROAMERICA <br />Filing Date and Time: 08/12/2025 10:29 AM <br />Pages: 1 <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />NEBRASKA- <br />Good Lae. 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 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 IN THIS SPACE <br />Nebraska ID Number Federal ID Number <br />13381717 NO FEIN <br />Lien Serval Number <br />12531359 <br />Lien Fled With: <br />® Register of Deeds <br />0 County Clark <br />Social Security Number <br />NO SSN <br />Spouses Sociel Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />June 4, 2025 <br />Lien Type: <br />® Original <br />❑continuation <br />❑Corroded <br />County <br />HALL <br />Business Nome and Location Address <br />axrayer Name and Mailing Address <br />TIENDA CENTROAMERICA <br />1409E 5TH ST <br />GRAND ISLAND NE 68801 <br />Tax Prograrn <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />01/01/2022 - 12/31/2022 <br />19/2Af021 <br />300.00 <br />60.00 <br />39.41 <br />.00 <br />399.41 <br />Sales <br />01/01/2023 - 12/31/2023 <br />102012021 <br />300.00 <br />60.00 <br />24.41 <br />.00 <br />384.41 <br />Total <br />783.82 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the taw of the State of Nebraska In determining the amount shown to be dal. <br />end that Ma taxpayer has faded to pay the amount due alter demand. TNs Nolte of State Tax Lien Is an etectlee tier and serves to continue the enmity of <br />the Slate's Interest In the aft • properly of the tstq,gm. <br />Preparers Signature <br />Authorized Signature <br />Revenue Agent <br />Dee <br />Revenue Manager <br />05/28/2025 402-471-2518 <br />Date Phone Number <br />TItie Date <br />4494.1074 Rene S-Soil Suf weadak 4-64e-1974 em. 6.7at9 <br />