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Good Life. Great Service, <br />202404174 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2408000683-9 Pages: 1 <br />Debtor Name: ALI A DAUD <br />Filing Date and Time: 08/28/2024 I 1:06 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Uen 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 ail 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 />Date of <br />Assessment <br />Nebraska ID Number <br />94527954 <br />Federal ID Number <br />NO FEIN <br />Interest <br />Lien Serial Number <br />12481929 <br />Lien Filed With: <br />Social Securky Number <br />XXX -XX -8065 <br />Spouseh Social Security Number <br />NO SPOUSE SSN <br />09/29/2022 <br />f4Register elDeeds 0 County clerk <br />Date of Lien <br />August 16, 2024 <br />Lien type: <br />pc ..led <br />county <br />HALL <br />r <br />I:t Original ■ Continuadon <br />Business Name and Location Add row <br />Taxpayer Name ant Malting ACQrevs <br />AU A DAUD <br />656 E ASHTON AVE <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 />09/29/2022 <br />$138.00 <br />$6.90 <br />$22.70 <br />$167.60 <br />individual <br />2020 <br />09/29/2022 <br />$543.00 <br />$27.15 <br />$70.64 <br />$840.79 <br />Total <br />$808.39 <br />certify that the Nebraska Department of Revenue has compfed with the laws of the State of Nebraska in d tenvin€ng the *mount shown to be due, <br />Mid that the taxpayer has failed to pay the amount due after demand. This Notice el Stale Tax Lien Is en effective lien and serves to continue the priority of <br />M e3 Interest in the &Owed <br />0 ' of the taxpayer. <br />Preps Signature <br />honied Signature <br />Revenue Agent 08/16/2024 (402)471-6043 <br />aIle Sete Phone Number <br />Revenue Supervisor 08/16/2024 <br />-nue Date <br />4.4ea-t974mer.b30te Supersedes 4440/84 Per 8-2013 <br />