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202601596 <br />Nebraska Secretary of State <br />Good Life. Great Service. <br />DEMRTNENT OP REVENUE <br />Notice of State Tax Lien <br />-FILED- <br />File #: 2603057566-1 <br />Date Filed: 3/16/2026 12:30 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 />c <br />1- <br />r <br />g <br />,t <br />F <br />� <br />t <br />o <br />Nebraska ID Number <br />48961299 <br />Federal ID Number <br />NO FEIN <br />r <br />Lien Serial Number <br />12623268 <br />Lien Filed With: <br />►7 Register of Deeds <br />❑ County Clerk <br />Social Security Number <br />XXX-)(X-4103 <br />Spouse's Social Security Number <br />XXX-XX-8482 <br />C <br />r <br />Date of Lien <br />January 29, 2026 <br />Lien Type: <br />Continuation ❑Corrected <br />County <br />HALL <br />r <br />s; <br />1- <br />K4 Original <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />FERNANDO D LAND! TARQUI <br />YOSLINDA VECINO KELLY <br />312 NEBRASKA AVE <br />GRAND ISLAND NE 68801 <br />c <br />r <br />c <br />r <br />r <br />f <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 />2021 <br />03/06/2024 <br />$350.00 <br />$98.25 <br />$75.77 <br />$524.02 <br />Total <br />$524.02 <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'sSignature <br />Authorized Signature <br />rItputl\i <br />Revenue Manager 01/29/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/29/2026 <br />Title <br />Date <br />4-494-1974 Rev. 8-2018 Supersedes 4.949.1974 Rev. 8-2013 <br />