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 />01/01/2014 - 03/31/2014 <br />07/07/2014 <br />.00 <br />-00 <br />4.81 <br />.00 <br />4.81 <br />Sales <br />04/01/2014 - 06/30/2014 <br />12/19/2014 <br />.00 <br />.00 <br />2,85 <br />.00 <br />2.85 <br />Sales <br />07/01/2014 - 09/30/2014 <br />01/02/2015 <br />.00 <br />.00 <br />1.97 <br />.00 <br />1.97 <br />Saks <br />10/01/2014 - 12/31/2014 <br />03/02/2015 <br />,00 <br />.00 <br />.28 <br />.00 <br />.28 <br />Saks <br />01/01/2015 - 09/30/2015 <br />02/07/2016 <br />885.00 <br />177.00 <br />27.18 <br />.00 <br />1,089.18 <br />Withholding <br />01/01/2014 - 12/31/2014 <br />08/11/2015 <br />580.00 <br />203.00 <br />25,98 <br />.00 <br />808.98 <br />Total <br />1,908.07 <br />• <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.Thesotaxes 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 WRITE IN THIS SPACE <br />Nebraska l0 Number <br />$300461 <br />Federal ID Number <br />470826027 <br />Lien Serial Number <br />11698937 <br />Lien Filed With: <br />Social seCurlty Number <br />XXX -XX-8435 <br />Spouse's Social Security Number <br />FA Register of Deeds 0 County Clerk <br />Date of Lien <br />July 29, 2016 <br />Lien Type: <br />DCorrected <br />County <br />HALL <br />LI Original 0 continuation <br />Aug. 29. 2 16 3:24FM NE Secretary )f 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 oI Revenue has complied with the Iews of the Slate of Nebraska in determining the amount shown to be dUe, <br />and that t = )(payer has Failed to pay the amount due atter demand. This Notice of State Tax Lien le an effective Lien and serves to continue the poorly 01 <br />the S : _ _ tereat in the affected pro file taxpayer. <br />Notice of State Tax Lien <br />Authorized Signature Title <br />Revenue Agent r' c / 402 -471 -6067 <br />Title Date Phcne Number <br />Revenue Senior Agent <br />Taxpayer Name and Mailing Address <br />P1HILLIP L WATTS <br />PO BOX 235 <br />WOOD RIVER NE 68883 <br />2 O4 X097 6F2 c, <br />; <br />HE 5.o eF s4.{¢ Jot..1 a Gel. U[C S <br />: <br />9916779088 -4 Pge :. 1 <br />WATTS PHILLIP L <br />Filed: 0S/29/2016 10 :33 R14 <br />Date <br />44e4 Rev. 8 Supersedes 4.949 -1974 RGV.2.2002 <br />