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State of Nebraska 4/29/2019 3:31:41 PM PAGE 2/003 Fax Server <br />N <br />201902425 <br />CIH Sec o! Stare - Robert B Evn <br />Filing Document # 1904001697-1 Pages 1 <br />Debtor Plaine .AHMED M17H.A11AED .AHbEe <br />Filo,€, Date and im] c 04/29/20191134t>.M <br />Notice of State Tax Lien <br />This Notice of Staler Tax L.icin is i&ajesf by thu Nebr,4aka <br />Department of Revenue for unpaid taxes acrrsinistered by theTaA <br />f ornntissioner. Taxes, including penalties, interest, and costs, <br />whictare sf vvm bew%% are clue from the laxpa}a:' and remain <br />unpaid after demand.These faxes 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 Eien.This lien will Gxpi7e and <br />become unenforceable 10 years atter the data of recefding if no <br />continuation mat"ment is recorded on Df pHor to the expiration of <br />the pmvicus fien or Contin uatiOn statement. <br />PLEAS[ 00 NOT WR(TE IN, TP31S SPAC£ <br />I"UA,S-7 R['URN M: <br />kiltPRASK.A DEPT OF fiEtrENUL <br />Fid fid X 945;)9 <br />—. .–W ___________________._----------------------- <br />---------------------------------------- <br />_.__._ _.__ __... _. <br />"Jst—s a :C N.-, Tb. `od�;rx 1•� lv;;^Jbsr <br />33v>f?3F3 <br />Lit^S�:;l f:u^..Cwa I L:art F�r•C41+;:,________ ......................__......1 <':.'. ....... --- –___ ;Ju,ahc:� <br />11927832 <br />:� t;::_;:=_:o: or ^, s;. �: sJ• ., a XXX -XX -6618 <br />April 23,2C-19K�.:: � s r.•: t:;k,n �ICo::c,' " : HALL. <br />f3ussrtcss Name and L.cication Address Taxpayer Name and Mailing Add:Es5 <br />------------_..._. _---------- <br />Ai -MED MIC)z V IOED.Al iMED <br />�32� KENNE:DY DR APT 4 <br />GRAND iSLAND NE 33803 <br />------------------ ------------ v - <br />Ta, fT^�gr ur. Tar Peiia•-_ l� to cf Tax Pena!:y - 1 n'eres: a-ts Total Oup <br />ass=_s---------- t <br />I t f a!4Uti! �n1? 139;2 •.•'20 E �4US OG! Via, .?D! 233.56! ?' - 6u <br />f -Ai •r.•• 18.E �`! ole Sst? .�( x., �..v\R it: : !Iliiar`] :P4 3•rb�Pt ..!:rXk:. . .. '. <br />._: •he NeL":9aV:c Ci•a._r:m; n; •A G:r..t^J.•n <br />,��[•�:.yC.`tN3:]::+i\),Ply'ir4:M'�+`�•1.1.i....i..iN'1:.J!tj,l:. <br />_i:�v..i'(f r"y1:]:d r:.(_I..��T.�V:��:1.\•i.Yt`J^.Y_._('.'Y)YtI <br />::�'N:C'.riiJb <br />(t.�'r�i)"!�:1r <br />..: l:-... � ....r-1 � � 1:'= :Jy(�.C.1^$ �i•Frl}' :1:., ir` 41:C�yyrY <br />r: <br />sign - <br />�.. � <br />�• <br />( <br />�, .>,.a�.-: _`moo+�-- _- <br />®yp �F`�`r .)tc t Ct --' <br />— - - <br />��10 <br />^aro <br />--fl'- .............. .. <br />`u•.a ]u rC•c: <br />Revenue Supe vi" t: <br />[r 04, x/2.3' 9 <br />. _rho>i:ad S�rianr� _- <br />