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Good Life Great Service. <br />es..r<rwrrr OP CEWNUs <br />Notice of State Tax Lien <br />202601047 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2602044009-0 <br />Date Filed: 2/24/2026 8:38 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 />89361164 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12622656 <br />Lien Sled With: <br />Social Security Number <br />XXX-XX-0031 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />K4 Register of Deeds ■ County Clerk <br />Date of Lien <br />January 26, 2026 <br />Lien Type: <br />County <br />HALL <br />12 Original (♦ Continuation <br />• Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />YUSEL HERNANDEZ ESTUPINAN <br />930 CLAUSSEN AVE <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 />$1,438.00 <br />$71.90 <br />$90.14 <br />$1,600.04 <br />Total <br />$1,600.04 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the Slate 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 />sign <br />here' Preparer's Signature <br />Authorized Signature <br />Revenue Manager 01/26/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/26/2026 <br />Title Date <br />4-494-1974 Rev 8-2018 Supersedes 4.949-1974 Rev. 8-2013 <br />CO520-2695 02/24/2026 8:12 <br />rD <br />0 <br />cD <br />C <br />fD <br />sZ <br />tr <br />cD <br />tr <br />n <br />N <br />rn <br />X <br />to <br />fD <br />0 <br />n <br />fD <br />ct <br />CD <br />n <br />0 <br />rh <br />Cl) <br />rt <br />a <br />r1 <br />fD <br />