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202600917 <br />Good Life Great Service <br />ocw.rMINT OP INVIMISI <br />Notice of State Tax Lien <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2602040549-9 <br />Date Filed: 2/18/2026 9:22 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 Tien 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 />92551971 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12621597 <br />Lien Filed With: <br />Social Security Number <br />XXX-XX-2778 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />4 Register of Deeds III County Clerk <br />Date of Lien <br />January 16, 2026 <br />Lien Type: <br />Corrected <br />County <br />HALL <br />® originai in Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ADIEL R BAEZ <br />1222 W CHARLES ST <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 />$.00 <br />$.00 <br />$1.33 <br />$1.33 <br />Individual <br />2024 <br />05/09/2025 <br />$983.00 <br />$83.25 <br />$59.46 <br />$1,125.71 <br />Total <br />$1,127.04 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has compffed 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 />Prepa <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />01/16/2026 (402)471-5729 <br />Date Phone Number <br />01/16/2026 <br />or 'ed, Signat Title <br />Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />C0519-5545 02/18/2026 8:08 <br />Received by Nebraska Secretary of State <br />