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202600389 <br />Good Life Great Service, <br />MINT or 11[VWYl <br />Notice of State Tax Lien <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2601024464-3 <br />Date Filed: 1/22/2026 2:07 PM <br />0 <br />to <br />ON <br />to <br />I� <br />W <br />N <br />O <br />I-, <br />N <br />N <br />0 <br />N <br />o1 <br />co <br />O <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 Ilen.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 />'o <br />m <br />o <br />H. <br />m <br />fl <br />tr <br />z <br />m <br />b' <br />n <br />Nebraska ID Number <br />89785797 <br />Federal ID Number <br />NO FEIN <br />N <br />x <br />Lien Serial Number <br />12620104 <br />Lien Filed With: <br />a'Registerof Deeds <br />Social Security Number <br />XXX-XX-7884 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Pt <br />m <br />m <br />III County Clerk <br />Date of Lien <br />January 6, 2026 <br />Lien Type: <br />❑Continuation ❑Corrected <br />County <br />HALL <br />C] <br />N <br />rt <br />f3 Original <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GLENN L HARRIS SR <br />1615 S LINCOLN AVE APT 7 <br />GRAND ISLAND NE 68801 <br />n <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 />01/29/2025 <br />$1,464.00 <br />$73.20 <br />$387.38 <br />$1,924.58 <br />Total <br />$1,924.58 <br />sign <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />Pre arer's Signature <br />here <br />led Signature <br />Revenue Manager 01/06/2026 <br />Title <br />Revenue Supervisor <br />Date <br />402 71-57 <br />Phone Number <br />01/06/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8- - .13 <br />