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Good Life. Great Service. <br />202401006 <br />NE Sec of State - Robert B. Emen <br />Filing Document #: 2403000380-0 Pages: 1 <br />Debtor Name: ATAYEB M ABDELGHANI <br />Filing Date and Time: 03/11/2024 10:26 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 ares lien forail property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Nen.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 mute SPACE <br />Nebraska ID Number <br />92252044 <br />Fatlarat ID Number <br />NO FEIN <br />Lien Serial Number <br />12462943 <br />i.Mn Few! ttyxtt: <br />($j AVOW Of owae 0 COUnty Milt <br />Social Security Number <br />XXX -XX -1107 <br />SPcuoe`s Social Security Number <br />NO SPOUSE SSN <br />Date of Llen <br />March 4, 2024 <br />ten Type: <br />20 Orlphrl °c ontinuatlon °corrected <br />Oavmtr <br />HALL <br />Business Neale and Location Address <br />Taxpayer Name rpud Meiling Address <br />ATAYEB M ABDELGHANI <br />1918 N HUSTON AVE <br />GRAND ISLAND NE 68803 <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 />$509.00 <br />$47.55 <br />$110.69 <br />$867.24 <br />individual <br />2020 <br />11/29/2022 <br />$952.00 <br />$47.60 <br />$102.35 <br />$1,101.95 <br />Total <br />$1,769.19 <br />I earthy that the Nebraska Department of Revenue hes complied whh the Mon of the Stale of Nebraska In deWmbdeg the amount sewer to be dw, <br />and that the swayer has fated to pay the amount due after demand•Thie Notice of Stele ilex Unrt le en wesw Yen and serves to continue the Priority of <br />the State's Merest In the erected property of the bepeyse. <br />sign aat ry <br />here Peeperar' >9nau+ <br />Authorized Signature <br />Revenue Agent 43/04/2024 (308)632-1210 <br />1110 Dete Phan* Number <br />Revenue Supervisor 03/04/2024 <br />Title Dale <br />44941974 mer: riots Suwnwp 448.1874 mer. 84013 <br />