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0), <br />Good Life. Great Service. <br />DEPARTMENT OP REVENUE <br />Notice of State Tax Lien <br />20260053f <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2601029097-6 <br />Date Filed: 1/29/2026 10:49 AM <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 Iien.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 <br />87331098 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12620474 <br />Lien Filed With: <br />Register of Deeds ❑ County clerk <br />Social Security Number <br />XXX-XX-2959 <br />Spouse's Social Security Number <br />XXX-XX-8627 <br />Date of Lien <br />January 8, 2026 <br />Lien Type: <br />El Corrected <br />County <br />HALL <br />El Original Ill Continuation <br />Business Name and Location Address <br />Taxpayer Name and MaIIIng Address <br />SERGIO E TREVIN <br />MARIA E TAMAYO <br />621 KENNEDY DR APT 2 <br />GRAND ISLAND NE 68803 <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 />05/07/2024 <br />$80.37 <br />$100.55 <br />$30.22 <br />$211.14 <br />Individual <br />2024 <br />05/09/2025 <br />$680.00 <br />$59.14 <br />$39.94 <br />$779.08 <br />Total <br />$990.22 <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 atter 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 />sign <br />here r Preparer's Signature <br />Revenue Manager 01/08/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/08/2026 <br />Authorized Signature ( Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />ZT:8 9Z0Z/6Z/TO 9T£T-LTSOD <br />Received by Nebraska Secretary of State <br />