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Good Life. Great Service <br />IMPARTMENT OF *EMM A <br />Notice of State Tax Lien <br />202600927 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2602040986-3 <br />Date Filed: 2/18/2026 2:19 PM <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 Ilen.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 />90146379 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12621448 <br />Lien Filed With: <br />Social Security Number <br />XXX-XX-3507 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />F.4 Register of Deeds IIICounty Clerk <br />Date of Lien <br />January 15, 2026 <br />Lien Type: <br />County <br />HALL <br />© Original • Continuation <br />1. Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SARA S MOODY <br />4215 KAY AVE <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 />2024 <br />05/09/2025 <br />$299.00 <br />$112.24 <br />$57.62 <br />$468.86 <br />Total <br />$468.86 <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 effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />Revenue Manager <br />Tale <br />Revenue Supervisor <br />01/15/2026 (402)471-5729 <br />Date Phone Number <br />01 /15/2026 <br />Aut' • _- 'gnature Title. Date <br />4-494-1974 Rev..8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />CO519-5611 02/18/2026 8:11 <br />Received by Nebraska Secretary of State <br />