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NEE3WirSKA- <br />e...••••••••• <br />NE See of State - Robert B. Evnen <br />Filing Document #: 2008000067-1 Pages: 1 <br />Debtor Name: ABDIHAKIM FARAH <br />Filing Date and Time: 08/05/2020 09:37 AM <br />Notice of State Tax Lien <br />202005669 <br />This Notice of State Tax Lien is issued by the Nebraska PLEASE DO NOT WRITE IN THIS SPACE <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.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 of this Iien.This lien will expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nebraska ID Number <br />46751335 <br />Tax Period Date of <br />Assessment <br />Federal ID Number <br />Lien Serial Number <br />12058945 <br />Lion Filed With: <br />[J f?egisler i,ir Deeds <br />[J County C. est <br />Socrai Security Number <br />XXX -XX -6789 <br />Spoeses Social Secariiy Number <br />Date re Len <br />July 28, 2020 <br />L=en type- <br />®Original <br />f Continuation [-Icorrectea <br />Canty <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Addre <br />ABDIHAKIM FARAH <br />610 SUTHERLAND STREET APT 2 <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2017 09/04/2018 <br />$1,230.00 <br />$61.50 <br />$123.17 <br />1,414.67 <br />Total <br />$1,414.67 <br />I certify khat the Nebraska Department of Revenue has complied with the laws of the State of Nebraska In determining the amoursshown to be use. <br />and that the taxpayer has failed to pay the amc,unt due atter ceman9,This Notice of Save Tar lien* an effective firm and serves to continue the pfority of <br />the State`s iniefest in the affected irupeity of the taxpayer. <br />sign, Revenue Agent 07/28/2020 (402)471-5712 <br />here rh ararc b gnatwe Tile Date Phone Number <br />Revenue Superyisor 07/28/2020 <br />A,ythorized Sgnatu Title Date <br />4-491,574 (iav_8-27t8 S.rtorpeaaes 44at¢t97a tie $.2:c* <br />