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Goo[L:-le... Gres'. Sen.:rt. <br />NE Sec of State - Robert B. Evnet <br />Filing Document #: 2206001228-7 Pages: 1 <br />Debtor Name: ABDERASHID H GOD <br />Filing Date and Time: 06/24/2022 09:24 AM <br />202204664 <br />Notice of State Tax Lien <br />Den.1 <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. Taxes, including penalties, interest, <br />which are shown below, are due from the taxpayer and remainlocaten <br />unpaid after demend.These taxes are a lien for all property <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. 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 Ilen or continuation statement <br />ID Num <br />94605157 <br />PLEASE DO NOT WRITE INTIM; SPACE <br />at D Nv <br />NO FEIN <br />Lien Serial Number <br />12201745 <br />Feed <br />of Deeds ❑ <br />Social Security Numl <br />XXX -XX -8802 <br />L�. <br />June 21, 2022 Orglemt 0comnuaton ©cdmected <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />ABDERASHID H GOD <br />324 W KOENIG ST APT 12 <br />GRAND ISLAND NE 68801 <br />NO SPOUSE SSN <br />County <br />HALL <br />certify Viet the Nebraska Department 01 Elevens has complied wen the laws of the State of Nebranka in determining the amount *hewn to be due. <br />end th 1 ttte taxpayer has tailed to pay the amount due after demand This Notice of State Tax Lien is an elective lien and renes to continue the prkeity of <br />1he State's intefest in the elected property 01 the taxpayer, <br />sign .34. - • L <br />here G, VW" <br />Revenue Agent 06/21/2022 (3081632-1210 <br />Tee Daft Pham Number <br />Revenue Supervisor 06/21/2022 <br />D <br />nee ata <br />.-494t974 a« a•so+e s,Kw..d.a 4-0+e-1914 lies same <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2019 <br />04/29/2021 <br />$188,00 <br />$47.00 <br />$12.65 <br />$247,65 <br />Total <br />$247.65 <br />certify Viet the Nebraska Department 01 Elevens has complied wen the laws of the State of Nebranka in determining the amount *hewn to be due. <br />end th 1 ttte taxpayer has tailed to pay the amount due after demand This Notice of State Tax Lien is an elective lien and renes to continue the prkeity of <br />1he State's intefest in the elected property 01 the taxpayer, <br />sign .34. - • L <br />here G, VW" <br />Revenue Agent 06/21/2022 (3081632-1210 <br />Tee Daft Pham Number <br />Revenue Supervisor 06/21/2022 <br />D <br />nee ata <br />.-494t974 a« a•so+e s,Kw..d.a 4-0+e-1914 lies same <br />