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i ocd Life, Great Sorvi;-e. <br />31104.,4043 NI NM., <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2305000443-7 Pages: 1 <br />Debtor Name: IBRAHIM A ISHAQ <br />Filing Date and Time: 05/12/2023 09:45 AM <br />Notice of State Tax Lien <br />202302346 <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 ID Number <br />91772680 <br />Federal 0 Number <br />NO FEIN <br />Lien Sorel Nunt¢7er <br />12331379 <br />Lien Filed With{ <br />[J Reglstr;tat Deeds OCounty Clark <br />Social Security Number <br />XXX -XX -9884 <br />Spouoe'c Such€ Security Numbsr <br />NO SPOUSE SSN <br />Date of Lien <br />May 8, 2023 <br />Lien Type:. <br />11/30/2022 <br />$.00 <br />County <br />HALL <br />Li original 0Continuation <br />■ Corrected <br />us nese Name and Location Address <br />Taxpayer Name and Mailing Address <br />IBRAHIM A ISHAQ <br />251 S WALNUT ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2019 <br />11/30/2022 <br />$.00 <br />$3.80 <br />$46.55 <br />$50.35 <br />Individual <br />2020 <br />11/30/2022 <br />$809.00 <br />$40.45 <br />$53.61 <br />$903.06 <br />Individual <br />2021 <br />11/30/2022 <br />$1,505.00 <br />$75.25 <br />$58.55 <br />$1,638.80 <br />Total <br />$2,592.21 <br />I certify that the Nebraska Department of Revenue hes complied with the laws of the State of Nebraska in determining the amount shown kr be due. <br />and that the taxpayer has failed to pay the amount due alter demand. This Notice of State Tax Lien Is en effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer.. <br />sign g <br />here Pmparer's Sign1J/ !!e <br />Leiezuzd- <br />Authorized Signature <br />Revenue Agent 05/08/2023 (308)632-2272 <br />Title Data Phone Number <br />Revenue Supervisor 05/08/2023 <br />Tito Date <br />4.4544974 Rev. B 2010 Supersedes 4.949.t974 Rem 8.2013 <br />