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State of Nebraska 8/16/2019 4:00:45 PM PAGE 3/007 Fax Server <br />NEB A6KA- <br />NE SreofState. - Rebertr Evnen <br />Filing Document #: 1908000919-9 Pages 1 <br />Debtor Name. FARHIYA S AHMED <br />Fihng Date and Tule 08/1620191241 PM <br />Nonce of State Tax Lien <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, Tnxes, including penalties; interest, and costs: <br />whion are shown below, are due from the taxpayer and remain <br />unpaid after dernsrd.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, el this lien. This lien will expire and <br />become unenforceable 10 years after the date of recording 8 no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement, <br />201904945 <br />i'i:EASE L30 NOT WRITI to4T}315 SPACE <br />9910429:6 <br />:1935608 <br />fszcs.. <br />XXX -XX -9968 <br />968 <br />August 14, 2019 i i...;- 1 <br />ir0,,,,,.-„: ::.,:c:.•.,.. ,s, <br />• <br />. Business Name and Location Address <br />HALL <br />Taxpayer Name As -KJ Mailing Address <br />Tax Program i r'g/ P•>riod De e of <br />Assessment <br />in;Jivicual I 2014 08/10:20:8 <br />ind,viduc <br />'fax <br />F.ARH1YA S ANMED <br />415 S CHERRY STREE APT J-55 <br />GRAND ISLAND NE 65801 <br />Penalty <br />lniarest Coszs Total Dua <br />585.30 <br />2_>5 <br />44/14:20n <br />$1.979.00 <br />sign <br />here <br />x.•9.90 <br />5242.3 + 0 4.2 <br />$222.19 i 2,299.09 <br />St, ;3:. 35 <br />•.,rf, al;ae Homs a:p:,,t,:. :;,,, •:;....nn -:t:: <br />14,.4i.8oz:r1.14; �J. .. 1•111 sY, <,..e.... .n... 1111«. .. .. .int l ;`,1:13.i: <br />rt.: ti':J;:-, t..: ti., -:: Kzf...:1 :.. ! Cd M:,.:..pity,:q. <br />f1 <br />%�.'�:.. �. t`' `� RevenuaAue:r B8/1412019 (402071-5713 <br />�Kci'•� FS:cn:: r:trn .:r ..a:a N%t::��:v:t•nt,;;• <br />.•. • Revenue Superl�is, <br />oz. n9/14/2019 <br />:•taci-5(0 £t;�:wtnc•. <br />173,0, <br />