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Good Life Great Service DO* rnwrr or RCVINU■ Notice of State Tax Lien 202600923 Nebraska Secretary of State -FILED- File #: 2602040527-5 Date Filed: 2/18/2026 9:19 AM This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this lien.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE INTHIS SPACE Nebraska ID Number 88021025 Federal ID Number NO FEN Lien Serial Number 12621516 Lien Fled With: Social Security Number )0(X-XX-1173 Spouse's Social Security Number NO SPOUSE SSN a Register of Deeds • County Clerk Date of Lien January 16, 2026 Uen Type: ® original D Continuation County HALL ■ Corrected Business Name and Location Address Taxpayer Name and Mailing Address KANE A PETRICK 2721 W KOENIG ST GRAND ISLAND NE 68803 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2024 05/28/2025 $767.00_ $65.00 $46.40 _ $878.40 Total $878.40 sign here 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, 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 the State's interest in the affected property of the taxpayer. Revenue Manager 01/16/2026 (402)471-5729 Title Date Phone Number Revenue Supervisor 01/16/2026 Tete Date 4-494-1974 Rev. 8-2018 Supersedes 4-849-1974 Rev. 8-2013 C0519-5580 02/18/2026 8:10 Received by Nebraska Secretary of State