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Gb <br />IJ CAR RAGuA <br />Gocd Life. Great Service. <br />GEIOEETMENT OF REVENUE <br />Notice of State Tax Lien <br />202600534 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2601028900-2 <br />Date Filed: 1/29/2026 9:43 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 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 <br />41345525 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12620445 <br />Lien Fled With: <br />Social Security Number <br />XXX-XX-4147 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Ki Register of Deeds is County Clerk <br />Date of Lien <br />January 7, 2026 <br />Lien Type: <br />County <br />HALL <br />i3 Original 0 Continuation <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />NORMA C MORENO <br />107 W CENTENIAL DR <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 />05/09/2025 <br />$559.00 <br />$199.75 <br />$65.49 <br />$824.24 <br />Individual <br />2024 <br />05/09/2025 <br />$1,457.00 <br />$108.63 <br />$85.26 <br />$1,650.89 <br />Total <br />$2,475.13 <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 />sign <br />here Preparer's Signature <br />Authorized Signature <br />Revenue Manager 01/07/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/07/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />C0517-1313 01/29/2026 8:12 <br />Received by Nebraska Secretary of State <br />