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Good Life. Great Service. <br />DEPARTMENT a REVENUE <br />Notice of State Tax Lien <br />202601592 <br />L <br />h <br />�I <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603057730-3 <br />Date Filed: 3/16/2026 2:38 PM <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 />86310747 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12624798 <br />Lien Filed With: <br />® Register of Deeds County Clerk <br />Social Security Number <br />X)O(-XX-1952 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />February 5, 2026 <br />Lien Type: <br />Corrected <br />County <br />HALL <br />4 Original 111 Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DIANELYS K BLANCO ROMERO <br />115 E 6TH 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 />2024 <br />06/13/2025 <br />$399.00 <br />$39.95 <br />$25.89 <br />$464.84 <br />Total <br />$464.84 <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 />rAwidscki <br />Revenue Manacier 02/05/2026 (4021471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 02/05/2026 <br />Title <br />Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />C <br />C <br />F <br />C <br />t <br />k <br />t <br />r <br />u <br />C <br />c <br />C <br />C <br />h <br />f <br />r <br />C <br />r <br />C <br />I- <br />t <br />r <br />C <br />r <br />