Laserfiche WebLink
Tax <br />Category <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />03/26/2013 TUE 15:03 FAX 402 471 4429 UCC SECRETARY OF STATE <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are 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 taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number <br />8960216 <br />Lien Serial Number <br />ittid <br />ate of Lien <br />Business Name <br />Street Address <br />City <br />21 <br />21 <br />02/28/2013 <br />a <br />BUSINESS NAME AND LOCATION ADDRESS <br />21 12/31 /2011 12/01/2012 <br />Nimtdaraska Dsparfrront 00 <br />Lien Filed With <br />Register of Deeds ElCounty Clerk <br />Lien Type <br />Original f Continuation <br />state Zip Code <br />201302374 <br />95.00 <br />Corrected <br />34.50 <br />�yy <br />Federal Identification Nurpber <br />20- 0787306 <br />Social Seculty Number <br />XXX -XX -1326 <br />County <br />Hall <br />Name <br />RYAN BARTls.S <br />Street or Other Mailing A9 ress <br />2410 OVERLAj'JD TRAILS CIR <br />City State <br />GRAND ISLAN NE <br />4.82 <br />Hall 2002 /007 <br />NE Sec of Siaie Jahn R Gale - UCC STI .11 9913711482 -4 p gs: 1 <br />BARTELS RYAN <br />Filed: 03/26/2013 10:22 AM <br />REVENUE NOTICE OF STATE TAX LIEN <br />ww.vr .iJa'n aY.r+ia.gov <br />PI..EASE 00 NOT WRITE IN THIS SPACE <br />Spouse's Social Security Number <br />TAXPAYER NAME AND MAILING ADDRESS <br />Zip Code <br />68802 <br />01/01/2012 12/01/2012 <br />06/30/2012 <br />04/01/2010 <br />06/30/2010 <br />08/26/2010 <br />190.00 <br />0.00 <br />69.00 <br />4.12 <br />TO TAL <br />134.32 <br />265.05 <br />4.38 <br />$ 403.75 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of thf State of Nebraska in the determinatipn of the <br />amount shown to be due, and he'taxpayer has failed to pay the amount due after demand. If this 1N►pe of State Tax Lien is an extension of an <br />effective lien, it serve • co inue the priorit e state's interest in the affected property of the *payer. <br />e << ,_ , � _ . � ~ Revenue Agent <br />sign rep rer's Signature , Title <br />here 8 6%>ti/,k, , J ..)21 -C - Senior Revenue Agent <br />Authorized Signature t Title Date <br />4 -494 qj4 Nev 2-2002 Supersedes 41944974 Rev. 10 -1995 <br />402 471 -6067 <br />Telephone Number <br />Uzi 13 <br />