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Good Life. Great Service. <br />DEPARTMENT OR NEVOID( <br />Notice of State Tax Lien <br />202602146 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604071817-8 <br />Date Filed: 4/8/2026 11:29 AM <br />01:8 9Z0Z/80/170 6010-9Z903 <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 />N <br />m <br />C <br />m <br />fl <br />tr <br />m <br />Cr <br />n <br />w <br />to <br />Nebraska ID Number <br />96617837 <br />Federal ID Number <br />NO FEIN <br />fir <br />u, <br />Lien Serial Number <br />12621074 <br />Lien Fled Wtlt: <br />Register of Deeds <br />Social Security Number <br />XXX-XX-9103 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />fD <br />n <br />n <br />■ County Clerk <br />Date of Lien <br />January 13, 2026 <br />Lien Type: <br />County <br />HALL <br />10 <br />rr <br />gi <br />Ft <br />K1 Original <br />■ Continuation <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />LILIAN A MONTEROLA <br />521 E ASHTON AVE <br />GRAND ISLAND NE 68801 <br />0 <br />t-h <br />rn <br />rr <br />a <br />rr <br />t9 <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 />$1,849.00 <br />$122.72 <br />$110.64 <br />$2,082.36 <br />Total <br />$2,082.36 <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 States Interest in the affected property of the taxpayer. <br />sign 6 <br />here Preparers Signature <br />Authorized Signature <br />Revenue Manager 01/13/2026 (402)471-5729 <br />P"L^"'Title Date Phone Number <br />vWvj Revenue Supervisor 01/13/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />