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Good Life. Great Service. <br />DEPARTMENT OE REVENUE <br />Notice of State Tax Lien <br />202601631 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603058182-6 <br />Date Filed: 3/17/2026 9:45 AM <br />80:8 9Z0Z/LT/SO Lb8T-£ZSOO <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 z <br />m <br />c <br />N <br />p <br />�b <br />m <br />c <br />m <br />Nebraska ID Number <br />45868085 <br />Federal ID Number <br />al <br />NO FEIN <br />v <br />Lien Serial Number <br />12623285 <br />Lien Filed With: <br />a Register of Deeds County Clerk <br />Social Security Number <br />XXX-XX-6451 <br />Spouse's Social Security Number (D <br />NO SPOUSE SSN n <br />Date of Lien <br />January 29, 2026 <br />Lien Type: <br />Corrected <br />County W <br />HALL a <br />n <br />l Original Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ARTEMIO LOPEZ <br />708 WEST 10TH ST <br />GRAND ISLAND NE 68801 <br />0 <br />rt <br />a <br />rt <br />(2 <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 />05/07/2024 <br />$581.00 <br />$29.05 <br />$70.87 <br />$680.92 <br />Total <br />$680.92 <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 Uen 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 r Preparer's Signature <br />Authorized Signature <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />01/29/2026 (402)471-5729 <br />Date Phone Number <br />01/29/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4.949.1974 Rev. 8-2013 <br />