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Good Life. Great Service. <br />bnawnNiNT OF UEV VYI <br />Notice of State Tax Lien <br />202602302n <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604074599-9 <br />Date Filed: 4/14/2026 10:00 AM <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 llen.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 Ilen or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />88885984 <br />Federal ID Number <br />NO FEIN <br />Lien Serial Number <br />12627934 <br />Lien Filed With: <br />Social Security Number <br />XXX-)p(-0958 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />i7 Register of Deeds 1111 County Clerk <br />Date of Lien <br />March 24, 2026 <br />Lien Type: <br />County <br />HALL <br />!:f Original ■ Continuation <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ELSY C RESTREPO YEPES <br />114W23RDST <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 />10/31/2025 <br />$3,942.00 <br />$327.78 <br />$296.35 <br />$4,566.13 <br />Total <br />$4,566.13 <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 State's interest In the affected property of the taxpayer. <br />sign <br />here Preparer'sSignature <br />Authorized Signature <br />• <br />Revenue Manager 03/24/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 03/24/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-49-1974 Rev. 8-2013 <br />0 <br />to <br />N <br />m <br />m <br />to <br />to <br />03 <br />0 <br />41+ <br />0 <br />N <br />l0 <br />N <br />Received by Nebraska Secretary of State <br />