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Goa! Lilo, Groat Service. <br />—a—fl-- <br />202402625 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2406000333-9 Pages: 1 <br />Debtor Name: AHMAT MAHAMAT <br />Filing Date and Time: 06/12/2024 10:28 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 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 Ilen. This lien will expire and <br />become unenforceable 10 years atter the date of recording ft 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 MS SPACE <br />Nab,uba ID Number <br />48441244 <br />Fed* nd ID Number. <br />NO FEIN <br />ben Wail Number <br />12475394 <br />tial Fed Wiitllc <br />d Dews 0 cou ty tae tc <br />Sactd Security Number <br />XXX XX -7142 <br />spouras`a Soc41 Security Nwntrx <br />NO SPOUSE SSN <br />Date of Cion <br />June 5,2024 <br />�lan'typa: <br />0Coneoted <br />County <br />HALL <br />13 o u 0Con*nuatlon <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />AHMAT MAHAMAT <br />708 E 8TH ST APT 8 <br />SCHUYLER NE 68661 <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 />12/20/2022 <br />$1,160.00 <br />$58.{X! <br />$179.40 <br />$1,397.40 <br />Total <br />$1,397.40 <br />certify that the Nebraska Depabmm of Revenue hes sampled with the taws of the Stab of Nebraska In dam/anima Me amount shown lo be this, <br />and that the taxpayer has Wed to pay the mmua due seer demend.lhis Notice of saw Tax Lien Is an eMec*hat ten and saves b continue the pldky of <br />rest in the a of the taxpayer. <br />Revenue Agent 06/05!2074 (4021471-6043 <br />7Ye D e Phone Number <br />Revenue Supervisor 06/05/2024 <br />TNe Date <br />4.4$4.1e74 PaniACta $i4iw W« 4449.1974 Rot A403 <br />