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Good Life. Great Service. <br />IMPARTMENT Of QYRNV! <br />Notice of State Tax Lien <br />2026n2303 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2604074650-0 <br />Date Filed: 4/14/2026 10:08 AM <br />C0526-6559 04/14/2026 9:22 <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 Ilen or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />xi <br />m <br />E• <br />mm <br />,er <br />z <br />m, <br />n <br />N <br />Nebraska ID Number Federal ID Number <br />88885984 NO FEIN <br />a) <br />to <br />Lien Serial Number <br />12623349 <br />Lien Filed With: <br />El County Clerk <br />Social Security Number <br />XXX-XX-0958 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />n <br />H <br />4 Register of Deeds <br />Date of Lien <br />January 29, 2026 <br />Lien Type: <br />County <br />HALL <br />rt <br />n <br />EI Original <br />II Continuation <br />■ Corrected <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />ELSY D RESTREPO rh <br />114 W 23RD ST <br />GRAND ISLAND NE 68801 a <br />rr <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 />2022 <br />10/04/2024 <br />$3,098.00 <br />$374.90 <br />$748.46 <br />$4,221.36 <br />Individual <br />2024 <br />10/31/2025 <br />$3,942.00 <br />$327.78 <br />$249.70 <br />$4,519.48 <br />Total <br />$8,740.84 <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 clue after demand. This Notice of State Tax Lien is an effective ben and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here r Preparer's Signature <br />Authorized Signature <br />Revenue Manager 01/29/2026 (402)471-5729 <br />Title Date Phone Number <br />Revenue Supervisor 01/29/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8-2013 <br />