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 />01/01/2015 - 12/31/2015 <br />04/04 /2016 <br />1,518,65 <br />534.54 <br />75.31 <br />40.00 <br />2,168.50 <br />Sales <br />01/0.1/2016 - 03/31/2016 <br />06/01/2016 <br />.00 <br />.00 <br />.87 <br />.00 <br />_87 <br />Withholding <br />07/01/2015 - 09/30/2015 <br />04/04/2016 <br />250.00 <br />_ 75M0 <br />7.97 <br />.00 <br />332.97 <br />Withholding <br />04/01/2015 - 06/30/2015 <br />04/04/2016 <br />250.00 <br />87.50 <br />9.86 <br />.00 <br />347.36 <br />Withholding <br />10/01 /2015 - 12/31/2015 <br />04/04/2016 <br />250.00 <br />50.00 <br />6.08 <br />_00 <br />306.08 <br />Withholding <br />01/01/2015 - 03/31/2015 <br />04/04 /2016 <br />165.00 <br />57.75 <br />7.76 <br />.00 <br />230.51 <br />Total <br />3,386.29 <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 />11981768 • <br />Federal D Number <br />464427701 - <br />Lien Serial Number <br />11600712 <br />Llen Flied With <br />Social Security Number <br />J XX_XX_4921 <br />Spouse's Social Security Number <br />rli Register of Deeds ❑ County Clerk <br />Erato of Lien <br />November 22, 2016 <br />Lion Type: <br />County <br />HALL <br />IX1 Original • Continuation <br />I♦ Corrected <br />Dec. 8. 2016 2:52PM NE Secretary of State — UCC No. 9020 P. 2/3 <br />Nebre Elka Department of <br />REVENUE <br />2 o: 608237 <br />Notice of State Tax Lien <br />1 Sec of Stoic John R dole - UCG STL <br />9915783715 -3 Poe: I <br />ARTOLA BRITNY K. <br />Filed: 12/013/2018 12:61 PM <br />sign <br />here <br />Business Name and Location Address <br />Authorized Ignature <br />Taxpayer Name and Mailing Address <br />BRITNY K. ARTOLA <br />2422 WEST 18TH <br />GRAND ISLAND NE 68803 <br />1 certify that the Nebraska Department ci Revenue nes corrtpted with the laws of the State of Nebraska In determining the amount shown to be due, <br />and that the taxpayer has failed to pay aunt due after demand. TMs Nolte of State Tax Lien is an affective lien and serves to conllnue the priority of <br />the SI.s Interest xilhe affected pr Rte taxpayer. <br />Revenue Agent ft x../'p 402- 471 -6067 <br />7ple Date Phone Number <br />Revenue Senior Agent rs^ _ b . /(' <br />nne t' <br />Dale <br />4-494 -1974 Rev. 8 -2019 Supersedes 4949.1974 Rev.2 -2002 <br />