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202207828
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Last modified
11/4/2022 3:41:43 PM
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11/4/2022 3:41:43 PM
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DEEDS
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202207828
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N 2 AG44k.. <br />Alteldenne Or Ware, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000115-9 <br />Debtor Name: NIMO AHMED <br />Filing Date and Time: 11/04/2022 10:18 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />202207828 <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 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 lien or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska 10 Number <br />92526144 <br />Fac.#eral i0 Number <br />NO FEIN <br />Lien Serial Number <br />12213446 <br />Lien Filed With: <br />®izogister of Deeds ❑ Cm mty Cia-k <br />Social Socucty Number <br />XXX -XX -1363 <br />Spouses Social Sec. city Number <br />NO SPOUSE SSN <br />Date of Met <br />November 1, 2022 <br />Lien Type: <br />0Cerreclea <br />County <br />HALL <br />Original • Q nivaration <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />NIMO AHMED <br />910 N BOGGS AVE APT 710 <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of Tax <br />Assessment <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2018 <br />11/09/2021 51.520.00 <br />$76.00 <br />$214.05 <br />$1,810.05 <br />Individual <br />2019 <br />2020 <br />11/09/2021 $448.00 <br />$22.40 <br />$35.05 <br />$505.45 <br />Individual <br />11/09/2021 7 $732.00 <br />$36.60 <br />$32.07 <br />$800.67 <br />Total <br />$3,116.17 <br />sign <br />here <br />certify that the Nebraska Department of Revenue has complied with the laws of the Stat, of Nebraska kr determining tie amount shown to be <br />and mal Me taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien is an effective ken and serves to contnue the priority of <br />Status interest in the affected property of the taxpayer. <br />Preparers Signature . f <br />Atenented Signature <br />RevenueAgent <br />Title <br />Revenue Supervisor <br />Title <br />11/01/2022 (402)471-0987 <br />Date Phone Number <br />11/01/2022 <br />Date <br />i-444.1974 Pew.$ 20'a SupexrsdeS 4•t143i'f)74 Rev, R?.^t:i <br />
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