201505320 - Laserfiche WebLink

Browse

Aug. 5. 2015 2:25FM1 NE Sei:retary of State — UCC STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR ■ ORIGINAL Qtr. / Yr. Employer or Liable Person: J & J Cleaning Services Address: 2422 W 18 Street Grand Island NE 68803 NDOL Serial No.: LAB- 0162 -2015 To be filed with theister of Deeds in the following Counties: NDOL Acct. No.: 0340459000 _ _ Hall Federal ID No. / SSA No.; � 27- 4534933 This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Siat. § §48 -657 and 48 -664) or payments in lieu of contributions (Neb. Rev. Scat 148- 660.01) pursuant to the Uniform State Tax Lien Registration & Enforcement Act (Web. Rev. Slat §77 -3901. et seq.). Notice is given that combined taxes or payments in lieu of contributions, interest (computed at 1.5% per month), and penalties are due from this employer or person and remain unpaid after demand. These combined taxes or payments in lieu of contributions constitute a lien for any and all personal property and real property in the county /counties named, belonging to the employer or person, whether now owned or hereafter acquired. Bate; August 5, 2015 Date Assessed 2/2013 7/10/2015 3/2013 7/10/2015 4/2013 7/10/2015 T; 'DOCUMENTS \ FORMS \Li ens \Original lien. doex Combined Tax Or Payment in Lieu Of Contributions Due R.O. Box 94600 Lincoln, NE 68509 -4600 201505320 TOTAL Combined Tax or Payment in Lien of Contributions Due (under this lien only): By: Penalty NE Sae of Skala John 9915758976 -0 3 $, .1 CLEANING SERVICES Filed: 0[1/05/2016 01:49 P11 $603.97 $36.91 $270.86 911.74 $953.88 s $52.36 $29721 $1,303.45 $517.21 $31.31 $137.69 ! $ 686.21 Na. 2104 S. 2/7 NDOL Office of Legal Counsel P.O. Box 94600 Lincoln, NE 68509 -4600 Telephone - (402) 471 -9912 FAX - (402) 471 -9917 Interest Through 7/25/2015 0 Gale - Commissioner of Labor THOMAS A. UKINSIrI, Legal Counsel KATIE S. THURBER, Legal Counsel CC STL Pgs: Subtotal $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0,00 S 0.00 1- —1-- $ 0.00 -- $ 0.00 $ 0.00 $2,901.40 I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. JOHN IL ALBIN RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR CHARGE ACCT. #147654)