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202505292 <br />NE See of State - Robert B. Evnen <br />Filing Document #: 2509000673-0 Pages: 1 <br />Debtor Name: WALFRIDO ALCANTARA PEREZ <br />Filing Date and Time: 09/22/2025 09:12 AM <br />Dt <br />NB - <br />Good Lrfe. Gnat. Service. <br />Notice of State Tax Lien <br />This Notice of State Tax Uen le 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 dsmend.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 llen.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 lion or continuation statement. <br />PLEASE DO NOT WRITE INTMIS SPACE <br />Nebraska ID hhrctbe <br />97614837 <br />Fedwai <br />NO FEIN <br />D Number <br />Lien Serial Number <br />12516371 <br />Len Filedwph: <br />I.4 taeglstaraDeeds ❑Countyclertt <br />Sostel Sasurgy Number <br />XXX-XX-4867 <br />Spo ale Social Security Numb., <br />NO SPOUSE SSN <br />Dale of Lain <br />September 4, 2026 <br />Uen TYPE <br />® oMd^+ ❑ ❑Consoler:I <br />Corey <br />HALL <br />n <br />Business Name and Location Address <br />'cosy*,Name and Mailing Address <br />WALFRIDO ALCANTARA PEREZ <br />209 N ELM ST APT 3 <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 />2018 <br />01/20/2025 <br />51,281.00 <br />$320,25 <br />$384.34 <br />$1.985.59 <br />Total <br />$1,985.59 <br />I Gently that Me Nttt Testa Department of Ravine nes complied with Pe laws of the Sate of Nebraska In WMrmin4q the amount shown to be trot., <br />and that Ma taapsyer hes tailed to pey the amount due after demand. Ties Nolte of Stab Tax Lien • an ereofhe aen and serves to continue M Morey of <br />the SUM, interest In the altected property of the taxpayer. <br />sign e <br />here 41s6A <br />Authorized Signature <br />Revenue Senior Agent 09/04/2025 (308)632-1210 <br />Ties Dale Phone Number <br />Revenue Supervisor 09/04/2025 <br />Title Date <br />4-494-ta7N Sin0.10,e tA9enadas 44149.1a7e rMr e4013 <br />