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NEBRA644A- <br />Good Life. Great Service. <br />DIVARTN[NT OF REVENUE <br />Notice of State Tax Lien <br />202601300 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603049930-0 <br />Date Filed: 3/4/2026 10:23 AM <br />91:8 9ZOZ/T70/EO SESr-IZSOD <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 Iien.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 Ilen or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE N <br />a <br />m <br />H- <br />m <br />¢' <br />rT' <br />m <br />tr' <br />w <br />co <br />Nebraska ID Number <br />91767210 <br />Federal ID Number X <br />Pi <br />NO FEIN <br />Lien Serial Number <br />12622826 <br />Lien Filed With: <br />a Register of Deeds ElCounty Clerk <br />Social Security Number <br />XXX XX-1570 <br />Spouse's Social Security Number 1D <br />o <br />NO SPOUSE SSN n <br />Date of Lien <br />January 27, 2026 <br />Lien Type: <br />Corrected <br />ED <br />County (I. <br />HALL n <br />r i Original III Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DIDIER HERNANDEZ ROSABAL <br />310 N RUBY AVE <br />GRAND ISLAND NE 68803 <br />0 <br />i-h <br />rt <br />rt <br />m <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 />08/22/2025 <br />$2,150.00 <br />$121.18 <br />$135.24 <br />$2,406.42 <br />Total <br />$2,406.42 <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 Preparer's Signature <br />Authorized Signature <br />ttkt'd (19,u.AMcki <br />Revenue Manager 01/27/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/27/2026 <br />Title Date <br />4.494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />