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Good Life. Great Service. <br />OUPAIITPIONT OP ■OVENUI <br />Notice of State Tax Lien <br />202602068 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069361-1 <br />Date Filed: 4/3/2026 11:43 AM <br />C0525-4931 04/03/2026 8:03 <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 Iien.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 />co <br />n <br />c <br />m <br />CD <br />b <br />0 <br />lo <br />w <br />Nebraska ID Number <br />99403803 <br />Federal ID Number <br />NO FEIN <br />Ps <br />ty <br />r, <br />Lien Serial Number <br />12620613 <br />Lien Filed With: <br />17 Register of Deeds <br />❑ County Clerk <br />Social Security Number <br />XXX XX.7172 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />co <br />rci <br />Date of Lien <br />January 9, 2026 <br />Lien Type: <br />® Original <br />❑ Continuation <br />County <br />HALL <br />tD <br />r7 <br />a <br />n <br />■ Corrected <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />OFELIA CISNEROS SANCHEZ <br />524 ONIELL CIRCLE <br />GRAND ISLAND NE 68801 <br />0 <br />r-h <br />to <br />rt <br />w <br />rt <br />cD <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 />11/15/2023 <br />$.00 <br />$.00 <br />$6.44 <br />$6.44 <br />Individual <br />2023 <br />11/01/2024 <br />$.00 <br />$.00 <br />$10.12 <br />$10.12 <br />Individual <br />2024 <br />10/31/2025 <br />$2,159.00 <br />$188.73 <br />$127.29 <br />$2,475.02 <br />Total <br />$2,491.58 <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 0 Preparers Signature <br />Authorized Signature <br />Revenue Manager 01 /09/2026 (402)471-5729 <br />Title Date Phone Number <br />r,„,.),.i Revenue Supervisor 01/09/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949.1974 Rev. 8-2013 <br />