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08/19/2011 FRI 15:11 FAS 402 471 4429 UCC SECRETARY OF STATE ~~~ 8a11 <br />C <br />� <br />�002/002 <br />NE Sae of Sia\e John q Ge1e - UCC STL <br />9912869668-1 Pes: 1 <br />MOHRMIED DHOOFO <br />Filed: 08/19/2011 10:14 iiM <br />�0�.�0620 <br />� <br />I�ebraska DepertFnent of <br />�!,����;E NOTtCE OF STATE TAX LIEN <br />www. rev.en ue.n e: g,ov <br />This Notice of State Tax Lien is issued by the Nebraska Deparqnent of <br />Revenue for unpaid taxes pursuant to the revenue Iaws of the state of <br />Nebraska. Notice is hereby given that taxes including penalttes and <br />interest, which a�e shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpaye� <br />or hereafter acauired. <br />98352873 <br />11160111 <br />�RegisterofDeeds �CountyClerkl )p()(-)()(_3B12 <br />08/18/2011 �origirral [�Continuation �CoReded HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />DHOOFO MOHAMED <br />° 5841 N WINTHROP AVE APT 512 <br />CHICAGOIL 60660 <br />Category I Tax Pedod I Date of <br />Number � 1lSSessmF <br />22 � 2008 � 09/08/2010 <br />i <br />�� ici wr �a ury u i+at u ro rve��a ueparII[1Eti[ pT Kgy@�UE ryflS COTi1�T1i8tl WIt11 th6 ►@1r811U@ 18YV3 Of fh8 SI�2 OF NBbf8Sk3 �11hB d81@ITT1��8U0�1 Df �18 <br />amount shown to � d�, and the taxpayer has failed to �ay the amount due af�r demand. If this Notiae of State Tax Lien is an exten�on of an <br />eif�tive lien, it s�ves to con6nue the priority of the state's interest in the affected prope�ty of the taxpayer. <br />� <br />evenue Agent [��� Q /_�_ (402�71-5928 <br />sign Pre Si9nature iee - �`at e"7 Telephor�Number <br />here ► Revenue Superoisor _,g, / , // <br />Signature Tide Date <br />4481•1974 Rev. 2-2UO2 Supersedea 4486-1974 Rev.1 W f�5 <br />T�TAL <br />Amount of Tax Penalty <br />491.00 24.55 <br />Interest I Add[tions <br />57.44 <br />ealanca oF <br />5T2.99 <br />57299 <br />1 <br />)' <br />i <br />� <br />i <br />�• <br />\ <br />