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NRd <br />Good Life. Great Service. <br />DEPARTMENT OP REVENUE <br />Notice of State Tax Lien <br />202601514 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603055659-6 <br />Date Filed: 3/12/2026 9:15 AM <br />60:8 9Z0Z/ZT/E0 9LZ9-ZZSO: <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 />PLEASE DO NOT WRITE IN THIS SPACE <br />0 <br />N <br />Q <br />b <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />LUIS D CONTRERAS OCANA <br />407 NEBRASKA AVE <br />GRAND ISLAND NE 68801 <br />0 <br />✓ 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 />05/09/2025 <br />$363.00 <br />$41.50 <br />$53.13 <br />$457.63 <br />Total <br />$457.63 <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 />Preparer's Signatur <br />Authorized Signat <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />02/05/2026 (402)471-5729 <br />Date Phone Number <br />02/05/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />