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:ions Lee. Greer NE Sec of State - Robert B. Evnen Filing Document #: 2203000991-2 Pages: 1 Debtor Name: GAMALEDIN MUNEIN Filing Date and Time: 03/17/2022 11:22 AM Notice of State Tax Lien 20220194(o This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand. These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this lien. This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE IN THIS SPACE Nebraska ID Number 91000122 Federal ID Number NO FEIN Lien Serial Number 12293712 Lien Flied With: Social Security Number XXX -XX -4955 Spouse's Social Security Number NO SPOUSE SSN 1N Register of Deeds DcourayCterk Date of Lien March 9, 2022 Lien Type. ® original ©continuation ❑Carected County HALL nd Location Address Taxpayer Name and Mailing Address GAMALEDIN MUNEIN 204 POPLAR ST APT7 GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2019 08/07/2020 $549.00 $27.45 $32.25 $608.70 Total $608.70 sign here I certify that the Nebraska Department of Revenue has compiled with the laws of the State of Nebraska in determining the amount shown to be due, and that the taxpayer has laded to pay the amount due after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority 01 the State's interest in the attested property of the taxpayer. Authorized Signature Revenue Senior Agent 03/09/2022 (308)632-1203 Title Date Phone Number Revenue Supervisor 03/09/2022 Title Gate 4.454-10Td aev. 8.204a Scpaaedce 4.443.1974 Rev. 8-2013