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20260133tri <br />Gocd L,fe. Great Service <br />Notice of State Tax Lien <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603050684-9 <br />Date Filed: 3/5/2026 8:46 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 />41217004 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12623849 <br />Lien Filed With: <br />F3 Register of Deeds County Clerk <br />Social Security Number <br />XXX-XX-0314 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />February 2, 2026 <br />Lien Type: <br />County <br />HALL <br />M Original 1111 Continuation <br />. Corrected <br />Business Name and Location Address <br />axpayer Name and Mailing <br />CARLOS A FLORIAN LIMA <br />1115 W 8TH STREET <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 />2018 <br />04/12/2024 <br />$3,013.11 <br />$955.50 <br />$1,228.51 <br />$5,197.12 <br />Individual <br />2019 <br />04/12/2024 <br />$436.00 <br />$109.00 <br />$117.95 <br />$662.95 <br />Total <br />$5,860.07 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown 10 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 02/02/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 02/02/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />S0:8 9Z0Z/SO/£0 <br />Received by Nebraska Secretary of State <br />