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02/29/2012 WSD 15:07 FAx 402 471 4429 UCC SECRETARY OF ST1�,TE -�yy 8a11 <br />�002/004 <br />�. <br />�, <br />2012U �.60G <br />� <br />� <br />IVebraska bepa�tme�t of <br />���� NOTICE OF STATE TAX LIEN <br />www.rev9rt�e.ne'.gov <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpald taxes pursuant tc the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penat�es and <br />interest, which are shown below, are due from the taxpayer spec�ed <br />below and remain unpaid after demand. These taxes constitute a lien <br />In the county for real and personal property belonging to the taxpayer <br />or hereafter acctuired. <br />98108697 <br />11270018 <br />�Register of Dceds �Counry Clerkl XXX XX-1624 <br />02/28/2012 �Original �Con6nuation �Correded HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME /WD IIAAILING ADDRESS <br />' HASSAN FARAH <br />610 SUTHERLAND AP7 2 <br />GRAND ISLAND NE 68801 <br />cee�eory <br />Number <br />22 <br />Tax Perlod i Date oi <br />2008 � Q6/27J2010 <br />Amount of Tax Penalty <br />386.00 18.30 <br />Ir�arest I Addrilone <br />52.54 <br />Balance of <br />436.84 <br />TOTAL � $ 436.84 <br />amount shown to be due, and the t�ayer has failed to pay the amowt due after demand. If this No6oe of State Tax Lien is an eMer�sion of an <br />effective lien, it segv�s to aontinue the priority of the state's interest in the affected property of the t�cpay�. <br />�� <br />��JC+��YV���,Q� RevenueAgent Z— Z — � (402)471-5712 <br />sign Preparers�gnatu ►ue �ate Tetep e umber <br />here ► Revenue Supervisor �2.�z$, / Z <br />Sign TiUe Date <br />aaea�e�a a�. s•�oo2 �,�ers�ae� 4.aea�s�a Rev. �a�aes <br />i <br />� <br />�i� <br />Y ' <br />