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ItE.eaaS-Kn� <br />Good Life. Great Service. <br />UEMRININT OP M.VUWO <br />Notice of State Tax Lien <br />202600780 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2602037080-0 <br />Date Filed: 2/11/2026 10:45 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 />46120440 <br />Federal ID Number , <br />NO FEIN <br />Lien Serial Number <br />12621215 <br />Lien Filed With: <br />Social Security Number <br />XXX-XX_1371 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />ll Register of Deeds I♦ County Clerk <br />Date of Lien <br />January 14, 2026 <br />Lien Type: <br />County <br />HALL <br />4 Original ■ Continuation <br />Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />TAMARA L UPSHAW <br />1419 HAGGE AVENUE <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 />05/07/2024 <br />$742.00 <br />$37.10 <br />$88.06_ <br />$867.16 <br />Total <br />$867.16 <br />sign <br />here r <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 />r'sSi re <br />r Signature <br />Revenue Manager 01/14/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/14/2026 <br />Title Date <br />4.494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />C0518-8230 02/11/2026 9:11 <br />Received by Nebraska Secretary of State <br />