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N <br />Good Life. Great Service. <br />CtOMTIWNT M NEvtw w <br />Notice of State Tax Lien <br />202602067 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069063-3 <br />Date Filed: 4/3/2026 9:05 AM <br />C0525-4938 04/03/2026 8:04 <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 Ilen.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 7d <br />m <br />0 <br />m <br />m <br />¢' <br />tr <br />tr <br />,- <br />a <br />co <br />Nebraska ID Number <br />43042244 <br />Federal ID Number tv <br />NO FEIN <br />Lien Serial Number <br />12620646 <br />Lien Filed With: <br />4 Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX-XX-0156 <br />Spouse's Social Security Number m <br />NO SPOUSE SSN n <br />Date of Lien <br />January 9, 2026 <br />Lien Type: <br />Corrected <br />County ccr <br />HALL a <br />n <br />li4 Original Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MANUEL MONTES <br />211 WEDGEWOOD DR <br />GRAND ISLAND NE 68801 <br />0 <br />rh <br />to <br />cr <br />rt <br />m <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 />$2,537.00 <br />$126.85 <br />$149.58 <br />$2,813.43 <br />Total <br />$2,813.43 <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 tailed 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 />ram; <br />Revenue Manager <br />Title <br />01/09/2026 (402)471-5729 <br />Date Phone Number <br />Revenue Supervisor 01/09/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4.949.1974 Rev. 8-2013 <br />