Laserfiche WebLink
Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />07/01/2014 - 07/31/2014 <br />09/02/2014 <br />141.49 <br />.00 <br />5.05 <br />.00 <br />146.54 <br />Sales <br />05/01/2014 - 05/31/2014 <br />09/02/2014 <br />22,74 <br />25.00 <br />.95 <br />.00 <br />48.69 <br />Sales <br />06/01/2014 - 06/30/2014 <br />09/02/2014 <br />37,62 <br />25.00 <br />1.47 <br />.00 <br />64.09 <br />Sales <br />08/01/2014 - 03/31/2015 <br />07/05/2015 <br />2,360.00 <br />472.00 <br />57.54 <br />.00 <br />2,889.54 <br />Sales <br />11/01/2013 - 04/30/2014 <br />09/25/2015 <br />923.51 <br />150,00 <br />45,00 <br />.00 <br />1,118.51 <br />Withholding <br />01/01/2015 -- 03/31/2015 <br />07/05/2015 <br />135.00 <br />38.50 <br />2.01 <br />.00 <br />175.51 <br />Withholding <br />07/01/2014 - 12/31/2014 <br />07/05/2015 <br />270.00 <br />87.75 <br />6.99 <br />.00 <br />364.74 <br />Withholding <br />01/01/2014 - 03/31/2014 <br />09/25/2015 <br />74.74 <br />3.74 <br />3.38 <br />.00 <br />81.86 <br />Withholding <br />04/01/2014 - 06/30/2014 <br />09/25/2015 <br />135.00 <br />47.25 <br />5.03 <br />.00 <br />187.28 <br />- Total <br />5,076.76 <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 />Nebraska ID Number <br />208396 <br />Federal ID Number <br />470353670 <br />Lien Serial Number <br />11595042 <br />Lien Filed With: <br />® Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX-XX-4976 <br />Spouse's Social Security Number <br />Date of Lien <br />October 28, 2015 <br />Lien type: <br />County <br />HALL <br />© drtginat 0 Continuation <br />• Corrected <br />'b <br />Nov. 9. 2015 3:02PM NE Secretary of State - UCC <br />Nebraska Department of <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />I certify that the Nebraska Department of Revenue ties compiled With the laws of the Stale of Nebraska In determining the amount shown to be due, <br />and that the taxpayer has failed to pay = a ouni due after demand, This Notice of Stale Tel Lien is an effective lien and serves to oontrtue the priority of . <br />M7 interest iri the affected pr <br />the taxpayer, <br />w � i <br />uthorized Signature <br />201507733 <br />Notice of State Tax Lien <br />Revenue Agent <br />Title <br />. Revenue Senior Agent <br />Taxpayer Name and Mailing Address <br />TODD J. VANSKIVER <br />2130NWEBBRD <br />GRAND ISLAND NE 68803 <br />0.3521 F. 2 <br />We Sac of Staler John a Gato - UCC 5'C <br />9915763631 -7 PgS: 1 <br />VANSKIVER TODD J. <br />Filed: 11/09/2015 01:40 PM <br />11/02/2015 402 - 471 - 6067 <br />Dale , Phone Number <br />Date nfT` /� <br />4494.1974 Rev. 8-2013 Supersedes 4.9491974 Rey. 2-2002 1 <br />