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202204965
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7/5/2022 3:48:15 PM
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7/5/2022 3:48:15 PM
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DEEDS
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202204965
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Good Life. Great Service. <br />own.,e,er.,vemc <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2207000114-7 Pages: 1 <br />Debtor Name: IBRAHIM MUHINDO <br />Filing Date and Time: 07/05/2022 09:12 AM <br />Notice 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. 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 llen.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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />90742648 <br />Federal D Number <br />NO FEIN <br />Lien Serial Number <br />12202274 <br />Lien Filed With: <br />® Register of Deeds 0 county Clerk <br />Social Security Number <br />XXX -XX -7093 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />June 28, 2022 <br />Lien Type: <br />® original ❑comkweton <br />11/05/2021 <br />County <br />HALL <br />■ Corrected <br />name slip t.00aifen Macress <br />Taxpayer Name and Mailing Address <br />IBRAHIM MUHINDO <br />395 S WALNUT ST APT 317 <br />GRAND ISLAND NE 68801 <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 />2020 <br />11/05/2021 <br />$450.00 <br />$22.50 <br />$15.05 <br />$487.55 <br />Total <br />$487.55 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska In determining the amount shown to be due, <br />and that the taxpayer has tailed to pay the amount due aper demand. This Notice of State Tax Lien Is art effective lien and serves to continue the priority of <br />the State's Interest in the affected property of the taxpayer. <br />Sign �s 1-4a1 Revenue Agent 06/28/2022 (308)632-1201 <br />here Preparees Signature Title <br />Date Phone Number <br />.1 nn. e1.�,6r�A. Revenue Supervisor 06/28/2022 <br />AuDR„¢ed Signature Title Dale <br />4494-1874 Rett 8.2018 5.eemedee 4940.1974 Pea 8.2013 <br />
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