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N_EJEIRA X-A- <br />Good Life. Great Service. <br />eeMllrltNT OF MOW! <br />Notice of State Tax Lien <br />202r 021 07 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604069963-4 <br />Date Filed: 4/6/2026 9:50 AM <br />C0525-6614 04/06/2026 8:02 <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 lien. 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 Tien or continuation statement. <br />PLEASE D0 NOT WRITE INTHIS SPACE <br />a <br />c <br />m <br />a. <br />,er <br />z <br />m <br />tr <br />At <br />rn <br />Nebraska ID Number <br />48841234 <br />Federal ID Number <br />NO FEIN <br />rs- <br />Ai <br />Lien Serial Number <br />12620095 <br />Lien Fled With: <br />► 4 Register of Deeds <br />0County Clerk <br />Social Security Number <br />XXX-XX-4744 <br />Spouse's Social Security Number <br />XXX-XX-4576 <br />cD <br />n <br />Date of Lien <br />January 6, 2026 <br />Lien Type: <br />® Original <br />0 Continuation [ Corrected <br />County <br />HALL <br />rrr <br />a <br />li <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />MARIA MARROQUIN <br />DOMINGO BERNABE <br />311 E BISMARK RD <br />GRAND ISLAND NE 68801 <br />tfi <br />CD <br />rt <br />rt <br />(D <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 />2022 <br />05/09/2025 <br />$649.00 <br />$162.25 <br />$108.43 <br />$919.68 <br />Individual <br />2024 <br />05/09/2025 <br />$1,518.00 <br />$126.90 <br />$88.50 <br />$1,733.40 <br />Total <br />$2,653.08 <br />1 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 fated 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 States Interest In the affected property of the taxpayer. <br />sign <br />here Preparer's Signature <br />Authorized Signature <br />Revenue Manaaer <br />rDituntai Title <br />Revenue Supervisor <br />01/06/2026 (4021471-5729 <br />Date Phone Number <br />01/06/2026 <br />Title <br />Date <br />4.494-1974 Rev. 9-2018 Supersedes 44149-1974 Rev. 9-2013 <br />