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State of Nebraska 6/21/2019 3:27:54 PM PAGE 4/005 Fax Server <br />NE_aRAS-KA <br />CIE Src of State - Robert Es Evnrn <br />Filing Document #: 1906001120-2 Pages: 1 <br />Debtor Name MOHAMIEJ F DIMBIL <br />Ping Date and Tuve. 06/21/201931 52 AM <br />Notice of State Tax Uen <br />201903623 <br />This Notice of State Tax Lien is 'red by the Nebraska <br />Departrnent of Revenue or unpaid taxes administered by the Tax - <br />Commissioner, Taxes, including penalties, irderaat, and -costs, <br />which are shown below, ere due from the taxpayer anal remain <br />unpaid after demand.These taxes are a lien for all property Located <br />in the county and rights lo property owned lay the taxpayer or <br />acquired before the expiration of this lien.This lien bvitt expire and <br />become unenforceabfe 10 yearn after the date of recording if no <br />continuation statement is recorded on or prior to the expiration <br />th.apreViOuS Iierbor continuation statement. <br />S8.868567 <br />St:NU:shin:kW <br />11931685 <br />Likin •Fila;c;IAPJ, <br />1.1fax.. <br />June 1920i9 <br />PLEASE DO NOT WSITE This SPACE <br />XXX-XX4572 <br />Basintinme anti Location Actilres5• <br />HALL <br />Taxpayer Nattle and Mailing Address <br />MOHAMOD <br />603 S VINE STREET .APT F <br />GRAND ISLANE) NE 68801 <br />Tax Pto9farn <br />Tax Pariori <br />Date of <br />Assessment <br />Ti3Y <br />tniidue <br />2015 <br />10/2.7,20-K5 <br />2016 <br />09/01.12017 <br />Penalty <br />$157.1:101 $10 30 <br />$117.00i <br />irilerest <br />Costs <br />188.321 <br />Total Due <br />$21.02 <br />Tolal <br />ti,c• C. :I, t.; *ha. <br />ts.wf *Z-1) kr. p•smIty <br />ths4i6is.bs • :J.( (46 cpgver. <br />131,5 <br />$319.60 <br />Revenue. Acent 060l9;2019 (402)471-6043 <br />