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G:od Life. Creat SteViCe, <br />pasnumonar or <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2308000984-6 <br />Debtor Name: ABACKARY IBRAHIM <br />Filing Date and Time: 08/30/2023 09:59 AM <br />Pages: 1 <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 alt 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 />Nebresits ID Number <br />90495969 <br />Federal ID Number <br />NO FEIN <br />Limn Serial Number <br />12344183 <br />Lien Filed with: <br />®Register of Deeds C] County Cleric <br />Social Security Number <br />XXX -XX -2832 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />August 23, 2023 <br />Lien Type: <br />®Ori nal ❑Cooln+aeon ❑Corrected <br />County <br />HALL <br />usiness Name en <br />ocation Address <br />Taxpayer Name end Malting Address <br />ABACKAR Y IBRAHIM <br />118 SOUTH VINE <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 />11/29/2022 <br />$547.00 <br />$27.35 <br />$63.10 <br />$637.45 <br />Individual <br />2020 <br />1.1/29/2022 <br />$539.00 <br />$26.95 <br />$43.63 <br />$609.58 <br />Total <br />$1,247.03 <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 failed to pay the amount due atter demand. This Notice of State Tax Lien 'a an effective lien and serves to continue the priority of <br />the Sates Interest in the affected property of the taxpayer. <br />sign <br />here Pregame' Signatu�re) <br />Le.La /I/ ,L <br />/, <br />Authorized Signature <br />Revenue Agent 08/23/2023 (308)632-1206 <br />Title Dab Phone Number <br />Revenue Supervisor 08/23/2023 <br />Title Date <br />4.484-1974 ROV.8-2018 Superseder, 44491074 Rev 8.2013 <br />