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. SK -A - Good Lite. Sr eat service. NE Sec of State - Robert B. Evnen Filing Document #: 2304000045-0 Pages: 1 Debtor Name: KUNU A OMER Filing Date and Time: 04/03/2023 12:06 PM Notice of State Tax Lien 202301561 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 48442763 Federal 10 Number NO FEIN Lien Serial Number 12325000 Len Flied With: Nj Register of Deeds 0 County Clerk Social Security Number XXX -XX -3714 Spouse's Social Security Number NO SPOUSE SSN Date of Lien March 24, 2023 Lien Type: 0Corrected County HALL original 0Continuatiorn usiness Name and Location Address Taxpayer Name and Mailing Add KUNU A OMER 1815 S LINCOLN AVE APT 4 GRAND ISLAND NE 68801 s Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2019 11/29/2021 $633.96 $60.00 $109.25 $803.21 Total $803.21 sign here 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. and that Lie taxpayer has failed to pay the amount due cher demand. This Notice of State Tao Lien is an effective lien and serves to continue the priority of the Stab's interest In the affected property of the taxpayer. Revenue Agent 03/24/2023 1111e Revenue Supervisor Date (402)471-6043 Phone Number 03/24/2023 Tide oate 4-4%4574 Pec 6-2018 Superaadea 4.949• t974 ret 5-2013