Laserfiche WebLink
rxdrask C <br />d�pxtment <br />o revenue <br />Notice of State Tax Lien <br />•Rand instructinnsnn &..a— L4. <br />Lion Serial Number, <br />Lien Typo <br />pate <br />Souai Sacunty Number <br />Penalty <br />Interest <br />Additions <br />N original <br />9!06/276 <br />p Reins at <br />6 -26 -89 <br />0 -01 -88 thru <br />89--- 10315 <br />Nebraska 1.0. No. <br />County <br />Lien Filed with <br />Spouses Soclol Security <br />5647479 <br />Hall <br />(N Register of Ottdr <br />Number <br />153.95 <br />43 11 <br />966.81 <br />[] County Clark <br />tl<MNESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Ntmt` <br />03 -31 -89 <br />6 -8-89 <br />Name <br />7-40 <br />3.24 <br />158.64 <br />Nebraska Palle <br />Street Address <br />$treat or Other Mailing Address <br />1215 East H ighwgy <br />30 <br />City <br />State <br />tip Carlo- <br />City <br />State zip Code <br />Grand Island, <br />NE 688+1 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below. are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal pteperty .belonging to the taxpayer or hereafter acquired. <br />I V41W <br />Tax Period <br />Assessment <br />Amount ah Tax <br />Penalty <br />Interest <br />Additions <br />Reliance of <br />Asanrnsnt Due <br />0 -01 -88 thru <br />21 <br />12 -31 -88 <br />6 -8-89 <br />769.75 <br />153.95 <br />43 11 <br />966.81 <br />01 -01 -89 thru <br />21 <br />03 -31 -89 <br />6 -8-89 <br />148.00 <br />7-40 <br />3.24 <br />158.64 <br />r <br />TOTAL <br />$ 1 125 45 <br />urination of <br />Lien Is a <br />sign <br />her <br />t Authorl— <br />i <br />o .ay cznpaeu wim me revenue laws of the State of Nebraska In thedeter. <br />MS1 imoun oyVn tO be due, and the taxpayer has failed TO pay the amount due after demand. If this Noti a of State; Tax <br />enil0n of an tfettive C' n'!t serves t continue the priority Of the State's Interest In the affected property of the taxpayer. <br />Taxpayers Service Speciali� <br />ure Title Date <br />Revenue Agent Supervisor <br />SlgnatUrl Title '^ Date <br />FOR iEOUNTY OFFICIAL'S USE . <br />NEBRASKA OEPARjI*;j NT OF REVENUE — White end Goldenrod Copies <br />TAXPAYER Pink Copy COUNTY OFFICE — Canary Copy <br />:'TNS ATUCWD MWICN(S) 0! TAX Lti ;• (Olt T lIItATIt7li) IS (ARE) TO BE F.ILLD CW VIM <br />:s . »�fltlTitN Q bins. <br />THE DOCt1MENT(S) IS (ARE) NOT TO LZ'PORWARDED TO THE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITEa TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVS IF _ <br />'.Q0L1)ENROD: TO BE KEPT BY THE REGISTER OF DEEDS. J <br />BILLIHG IS TO BE ONCE PER MONTH P.ND THERE WILL BE NO PRE - PAYMENT OP- FEES. <br />! THANK YOU FOR YOUR COOPERATION. <br />t <br />in <br />