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202505574 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2510000155-5 Pages: 1 <br />Debtor Name: ZACHARY A WALLACE <br />Filing Date and Time: 10/03/2025 01:10 PM <br />Goof Ult. Groot Sot v,ce. <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 10 NisT .r <br />92384994 <br />FederN iD Number <br />NO FEIN <br />Lien Serial NumMe <br />12517885 <br />Liam Filed Ne1h: <br />it liagisterof Deeds ❑Downy Clerk <br />SONN 8ecurkty Number <br />XXX-XX-9002 <br />Spouse's Segal Security Number <br />NO SPOUSE SSN <br />Dar el Lien <br />September 17, 2025 <br />lien Type: <br />® Orisdma ❑ COMan soon El Corrected <br />County <br />HALL <br />r <br />Business Name and Location Address <br />yer Nam• and Mailing Address <br />ZACHARY A WALLACE <br />APT 3 <br />102 MAKAYLA AVE <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 />2023 <br />08/09/2024 <br />$57.00 <br />$22.85 <br />$5.28 <br />$85.13 <br />Individual <br />2024 <br />07/11/2025 <br />$454.00 <br />$42.70 <br />515.42 <br />$512.12 <br />Total <br />5597.25 <br />1 certify that the Nebraska Department or Revenue has compiled with t[r laws of the Slat at Nebraska in derrminng eta amount anoint to be due. <br />end oat me taxpayer has Wed to pay the .moue due all., demand. This Notice of Safe Tax Len la an e&lecdve Man and serves to continue the prkway et <br />the Sates Interest In the elected properly of the taxpayer. <br />sign <br />here r Pyparefs StirAlu a <br />/fie--1 , %6A- <br />Artltorized Signature <br />Ate <br />Revenue Agent 09/17/2025 (308)632-1208 <br />TM' Dade Phone Number <br />Revenue Supervisor 09117/2025 <br />Tide <br />Der <br />4.494.1974 My. 8-2o18 S[ra nacho 4.e4P1e7r . . e-SOO <br />