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N <br />Good Life. Great Service. <br />OSIMIKIIDIT or •awww <br />Notice of State Tax Lien <br />202r=- O21 03 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069939-4 <br />Date Filed: 4/6/2026 9:17 AM <br />C0525-6604 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 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 N no <br />continuation statement is recorded on or prior to the expiration of <br />the previous Ilen or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />c <br />co <br />C <br />P <br />c <br />c <br />1-1 <br />AJ <br />IT <br />Nebraska ID Number <br />86963902 <br />Federal ID Number N <br />NO FEIN <br />Lien Serial Number <br />12619999 <br />Uen Filed With: <br />(7j Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX-XX-0943 <br />Spouse's Social Security Number a <br />NO SPOUSE SSN c <br />h <br />Date of Len <br />January 6, 2026 <br />Lien Type: <br />® original ❑ Continuation ❑ Corrected <br />County ru <br />r <br />HALL lL <br />Business Name and Location Address Taxpayer Name and Mailing Address f <br />YORELVIS GIL COLINA <br />200 E HWY 34 <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 />$2,669.00 <br />$133.45 <br />$155.61 <br />$2,958.06 <br />Total <br />$2,958.06 <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 faNed 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'sSignature <br />Authorized Signature <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />Title Date <br />4.4941974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />01/06/2026 (402)471-5729 <br />Date Phone Number <br />01/06/2026 <br />