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' ryu rTlQtST' A - <br />Good Life. Great Service. <br />oer�TrncNT Of �!Ylrwe <br />Notice of State Tax Lien <br />202601632 <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603058341-8 <br />Date Filed: 3/17/2026 11:32 AM <br />C0523-1850 03/17/2026 8:08 <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 />n <br />co <br />c <br />Q <br />0 <br />1< <br />m <br />b <br />fL <br />Ul <br />Nebraska ID Number <br />93000855 <br />Federal ID Number <br />NO FEIN <br />w <br />Lien Serial Number <br />12623275 <br />Lien Filed With: <br />4 Register of Deeds <br />❑ County Clerk <br />Social Security Number <br />XXX-XX-5700 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />N <br />n <br />Date of Lien <br />January 29, 2026 <br />Lien Type: <br />Continuation <br />County <br />HALL <br />N <br />0 <br />1 Original <br />NI Corrected <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />AHMED MOHAMMED <br />2323 BELLWOOD DRIVE APT 208 <br />GRAND ISLAND NE 68801 <br />0 <br />rn <br />to <br />rt <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 />2024 <br />05/09/2025 <br />$288.00 <br />$14.40 <br />$18.24 <br />$320.64 <br />Total <br />$320.64 <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 after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority of <br />the State's interest In the affected property of the taxpayer. <br />sign <br />here Preparer's Signature <br />Authorized Signature <br />fkovzoi <br />Revenue Manager <br />Title <br />Revenue Supervisor <br />01/29/2026 (402)471-5729 <br />Date Phone Number <br />01/29/2026 <br />Title Date <br />4-494-1974 Rev. 8-2018 Supersedes 4-949-1974 Rev. 8.2013 <br />