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 />10/01/2014 - 05/31/2015 <br />07/01/2015 <br />.00 <br />.00 <br />144.92 <br />.00 <br />144.92 <br />Sales' <br />06/01/2015 - 11/30/2015 <br />02/01/2016 <br />9.491.14 <br />1,562.10 <br />286.14 <br />.00 <br />11,339.38 <br />Sales • <br />01/01/2016 - 01/31/2016 <br />05/02/2016 <br />.00 <br />.00 <br />16.33 <br />.00 <br />16.33 <br />Sales <br />03/01/2016 - 03/31/2016 <br />06/01/2016 <br />_00 <br />189.36 <br />1.54 <br />.00 <br />190.90 <br />Sales <br />12/01/2015 - 12/31/2015 <br />06/01/2016 <br />.00 <br />213.49 <br />17.37 <br />100.00 <br />330.86 <br />Total <br />12,022.39 <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 Iien.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 WHITE IN THIS SPACE <br />Nebraska ID Number <br />9239932 <br />Federal ID Number <br />470821358 <br />Lien Serial Number <br />11698393 <br />Lien Flied with: <br />Social Security Number <br />Spouse's Social Security Number <br />pi Register of Deeds • County Clerk <br />Date of Lien <br />June 15, 2016 <br />Lien Type: <br />County <br />HALL <br />M Original • Continuation <br />• Corrected <br />un, 22. 2016 9:27FM NE S .rotary of State — UCC No 7068 F. <br />Nebraska Deportment of <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />rep ; Signature <br />Aulhorlaed Signature Title <br />201603861 <br />Notice of State Tax Lien <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />Taxpayer Name and Mailing Address <br />WILLIS SHOE AND BOOT INC <br />379 N WALNUT ST <br />GRAND ISLAND NE 68801 <br />NE see .• 54.{0 John a Gal. - UCC 5TL <br />991677.324 -2 Pas: 1 <br />W ILL I S lie: EIOOT <br />I certify that the Nebraska Department of Revenue has compiled with the laws of the State of Nebraska In determining the amount shown to be due, <br />and that the • : yer has lolled to pay I aunt clue alter demand. This Notice of State Tax Lien Is an elieCtive ken and serves to continue the priority of <br />ma Slaj h est in the sheeted pr� the taxpayer. <br />06/16/2016 402 - 471 -6067 <br />Date Phone Number <br />4 <br />Dale <br />4 -494 -1974 Rev.0 -2013 Supersedes 4449 -1974 Rvv.2.2002 <br />