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.U.EBRASfEA- <br />Good Life. Great Service. <br />wnOrwarr u, IMMIX <br />Notice of State Tax Lien <br />202602101 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069910-5 <br />Date Filed: 4/6/2026 9:01 AM <br />C0525-6601 04/06/2026 8:01 <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 Ilen 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 />%h <br />m <br />a <br />c <br />m <br />¢' <br />,tr <br />m <br />r <br />n <br />m <br />Nebraska ID Number <br />49069039 <br />Federal ID Number <br />NO FEIN <br />DJ <br /><n <br />Lien Serial Number <br />12619959 <br />Lien Fled With: <br />i:1 Register of Deeds <br />❑ County Clerk <br />Social Security Number <br />)XX-XX-9759 <br />Spouse's Social Security Number <br />XXX-XX-1578 <br />(D <br />n <br />Date of Lien <br />January 6, 2026 <br />Lien Type: <br />❑ Corrected <br />County <br />HALL <br />tD <br />cr <br />0 <br />n <br />1;1 original <br />■ Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SABINO SALDANA GONZALEZ <br />SAMANTHA RODRIGUEZ BENITEZ <br />331 ROUSH LN <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 />09/10/2025 <br />$304.00 <br />$76.00 <br />$17.72 <br />$397.72 <br />Total <br />$397.72 <br />I certify that the Nebraska Department of Revenue has compiled 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 Nock a of State Tax Lien Is an effective Den and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here Preparers Signature <br />Authorized Signature <br />r <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />01/06/2026 (402)471-5729 <br />Date Phone Number <br />01/06/2026 <br />Title Date <br />4-4e4-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev 8.2013 <br />0 <br />I-h <br />rn <br />rt <br />fv <br />rt <br />(D <br />