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Jan. 10. 2019 2:46FM NE Seer tary of State 201900213 No. 1609 <br />N.EBRA&KA' <br />& oo L i t e?eac Serr�cr. <br />wW.MaJT w aOraw <br />NR See of Slate - ]lobed D. paten <br />Filing Document 0: 1901000766-6 Pages'; 1 <br />DebinrNbme: 0 ASSR A BAR1 <br />Filiva Dare and Tine: 01/10/2010 01:50 PM <br />Notice of State Tax Lien <br />Th13 Notice of State Tax Lien is issued by the Nebraska <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Tax <br />Department of Revenue for unpaid taxes administered by the Tax <br />Interest <br />Costs fTotal Due <br />34.4.40 <br />Commissioner. Taxes, Inc -hiding penalties, interest, and casts, <br />2015 L 05/24/2016 <br />S297.21I $20.30 <br />which ate ehown below, are due from the taxpayer and remain <br />Total $344.40 <br />unpaid after dernend.These taxes area lien for all properly located <br />in the county end rights to property owned by the taxpayer or <br />acquired before the expiration of this Ilen. This lien will Axpira 1110 <br />become unenforceable 10 years after the dela of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation Statement <br />Neytnake in Number <br />Padang 0 Nienber <br />03110610 <br />UK Baru) Nem* <br />Lien File) Wile; <br />Sodel Seemly thinner <br />Spouse. Social Security Number <br />11921596 <br />® pookwo assn% 0 cot.Idy Clerk <br />l swine; <br />XXXXX-1288 <br />evilly <br />pp. of Lionr <br />January 08;2019 1 ®Oripne [Jcomould . Elcaeeae0 <br />HALL <br />R <br />L Business Name and Location Address <br />Taxpayer Name end Mailing Address <br />MASER A BARI <br />319 SOUTH WALNUT ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period I Dote of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs fTotal Due <br />34.4.40 <br />Individual <br />2015 L 05/24/2016 <br />S297.21I $20.30 <br />$26.89 <br />Total $344.40 <br />l betair ebb lee Neaaaolie Depere enl 01 Reverie has c r phed with the Iews dl Illy woe 9! Nutsaaka it, determining the sr,bunl sweat ie be Cue. <br />tied Nal the lexpayet hes. laced Co gt0y tiro &Ogee./ i.e ower demand. was Nods° aI State Ter Lien o en eterThe Ilan And calves la anettihiie ale ;ideally of <br />I v 05100 Yderee! in the ebM.tad pualirly d the Taxpayer. <br />sign <br />here <br />hA'aKle tie 590ab4e <br />..--;,---A --, <br />Ain nrimd &prelate ) <br />Revenue Agent 011Q8/2019 (492)471X5712 <br />iltlo P -ora Phos Number <br />Revenue Supervisor 01/08/2019 <br />Title <br />Dale <br />a.noa.,eu neo. e✓tet9 <br />