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202601297 <br />Good Life. Great Service. <br />D1P R PIENT OF REVENUE <br />Notice of State Tax Lien <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603050027-1 <br />Date Filed: 3/4/2026 11:08 AM <br />C0521-4597 03/04/2026 8:18 <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 INTHIS SPACE <br />n <br />H <br />a <br />Q <br />c <br />m <br />c <br />1-1 <br />a <br />m <br />Nebraska ID Number <br />33475776 <br />Federal ID Number <br />NO FEIN <br />PI <br />Lien Serial Number <br />12624401 <br />Lien Filed With: <br />® Register of Deeds <br />County Clerk <br />Social Security Number <br />XXX-XX-8753 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Cr <br />(i <br />n <br />Ft <br />Date of Lien <br />February 4, 2026 <br />Lien Type: <br />LI Original <br />Continuation ❑ Corrected <br />County <br />HALL <br />rl <br />n <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DEBRA A HOFFMAN <br />210 PIPER STREET 1 <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 />07/03/2025 <br />$662.00 <br />$33.10 <br />$42.80 <br />$737.90 <br />Total <br />$737.90 <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 />sign <br />here 0 Preparers Signature <br />Authorized Signature <br />Revenue Manager 02/04/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 02/04/2026 <br />Title Date <br />4.484-1974 Rev. 8-2018 Supersedes 4-949.1874 Rev. 8-2013 <br />aTegs ;o <br />