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Good Life. Great Service. <br />DIMSTMNMT M UMW( <br />Notice of State Tax Lien <br />202601634 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603058517-3 <br />Date Filed: 3/17/2026 12:57 PM <br />C0523-1879 03/17/2026 8:09 <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 />1 <br />1 <br />1 <br />Nebraska ID Number <br />48594830 <br />Federal ID Number <br />f <br />NO FEIN i <br />Lien Serial Number <br />12623537 <br />Lien Filed With: <br />K4 Register of Deeds County Clerk <br />Social Security Number <br />)0(X-XX-9215 <br />Spouse's Social Security Number 1 <br />NO SPOUSE SSN <br />Date of Lien <br />January 29, 2026 <br />Lien Type: <br />Corrected <br />County <br />i <br />HALL i <br />t 4 Original Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />OMAR GAMEZ <br />315 W 10TH STREET <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 />05/09/2025 <br />$964.00 <br />$48.20 <br />$61.06 <br />$1,073.26 <br />Total <br />$1,073.26 <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 />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 />0 <br />rh <br />m <br />rt <br />a <br />rt <br />m <br />