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Good Life. Great Service. <br />wwtMINT a UlVUI ra <br />Notice of State Tax Lien <br />2022102 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069921-2 <br />Date Filed: 4/6/2026 9:10 AM <br />C0525-6602 04/06/2026 8:01 <br />This Notice of State Tax Llen 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.Thls 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 NOTWRITE INTHIS SPACE m <br />0 <br />m <br />R' <br />b <br />m <br />o <br />w <br />Nebraska ID Number <br />49083368 <br />Federal ID Number N <br />NO FEIN <br />Lien Serial Number <br />12619960 <br />Lien Filed With: <br />Social Security Number <br />XXX-XX-8908 <br />cr. <br />Spouse's Social Security Number fD <br />XXX-XX-8931 1-1 <br />f 4 Register of Deeds • County Clerk <br />Date of Lien <br />January 6, 2026 <br />Lien Type: <br />® original ❑ Continuation <br />County N <br />rt <br />HALL n <br />• Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GASPAR M MORALES LUNA <br />WENDY L MEDINA ZAPATA <br />508 W 10TH ST <br />GRAND ISLAND NE 68801 <br />0 <br />rh <br />rrt <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 />. 08/22/2025 <br />$363.00 <br />$18.15 <br />$21.16 <br />$402.31 <br />Total <br />$402.31 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown 10 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 />Preparers Signature <br />Authorized Signature <br />Revenue Manager 01/06/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/06/2026 <br />Title Date <br />4494-1974 Rev. 844318 Supersedes 4-949-1974 Rev. 8-2013 <br />