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Good Life. Great Service <br />OIPWTNINT OP RMNUI <br />Notice of State Tax Lien <br />202600926 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2602040699-2 <br />Date Filed: 2/18/2026 11:12 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 />. <br />Nebraska ID Number <br />92387136 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12621471 <br />Lien Filed With: <br />Social Security Number <br />XXX-XX-7130 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />4 Register of Deeds IIICounty Clerk <br />Date of Lien <br />January 15, 2026 <br />Lien Type: <br />El Corrected <br />County <br />HALL <br />►4 Original D Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />RAUL MENDOZA PENA <br />104 E 23TH 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 />2024 <br />05/09/2025 <br />$482.00 <br />$24.10 <br />$29.05 <br />$535.15 <br />Total <br />$535.15 <br />sign <br />here <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 effect ve lien and serves to continue the priority of <br />the States interest in the affected property of the taxpayer. <br />Prep <br />Authoriz-. Signature <br />Revenue Manager 01/15/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/15/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />C0519-5605 02/18/2026 8:11 <br />Received by Nebraska Secretary of State <br />