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Good Life. Great Service. <br />DtMfTMlwT OP DIIVlNul <br />Notice of State Tax Lien <br />202601 51 7 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603055687-7 <br />Date Filed: 3/12/2026 9:30 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 />96061650 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12624156 <br />Lien Filed With: <br />f:7 Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX-XX-7893 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />February 3, 2026 <br />Lien Type: <br />Corrected <br />County <br />HALL <br />EI Original Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />LAURIE MARTINEZ <br />907 W ANNA ST <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 />2023 <br />04/09/2025 <br />$616.00 <br />$395.25 <br />$127.31 <br />$1,138.56 <br />Total <br />$1,138.56 <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 />Revenue Manager <br />Title <br />02/03/2026 (402)471-5729 <br />Date Phone Number <br />Revenue Supervisor 02/03/2026 <br />Title Date <br />4-494-1974 Rev. 8.2018 Supersedes 4-949-1974 Rev. 8.2013 <br />C0522-6290 03/12/2026 8:09 <br />(D <br />a <br />(D <br />H- <br />C <br />m <br />P- <br />CD <br />tr <br />w <br />m <br />iv <br />to <br />(D <br />n <br />m <br />rt <br />w <br />n <br />0 <br />rh <br />to <br />rt <br />w <br />rt <br />m <br />