89104121 - Laserfiche WebLink

Browse

Jrrepeftmeht Notice of State Tax Lien . ..., ........ ■ki. Lion SSrtaf Number Lien TYPe Oat* Social Security Number Penalty 89160219 W Original ❑ Renewal 7 -31 -89 519 -56 -0888 8q.,,,,e 104121 Nebraska I.D. No. County Lien Filed With Spouse's Social Security ® Register of Deed Number 1683Q326 Hall County Clark BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS_ Business Name Name Alan J. Ellison Street Address Street or Other Maiiing Address 1108 West Division City State Zip Code City State Zip Code Grand Island NE 68801 This Notice of Sate Tax Lien is iraued by the Nebraska Department of Revenue for unpaid taxes punwwt to the revenue laws of the state of Ngb aska. Notice h hereby liven that taxes including penalties and interest, which are shown below, are due from the taxpayer Specified above and remain unpaid after demand. These taxes constitute a lien in the county for real aim: *rsonal property belonging to the taxpayer or hereafter acquired. Tax Tax Period Date of Amount of Tax Penalty Inters" Additions Balance of Assessment Cue Number Asaaams►nt ut -ut -ai znru 22 12 -31 -81 5 -16 -89 897.75 224.44 917.33 2,039.52 t ru 22 12- �31 -82 5 -16 -89 1460 365.22•; 1288.21 3,114.31 - -83 thru 22 12 -31 -83 5 -16 -89 727.20 181.80 539.16 1 448.16 TOTAL S 8_M -.75 I hereby certify that the Neitr:aska Department of Revenue has compiled with the reAenue laws of the State of NebrASka In the ifl1;w- mination of the amount shows??. pp be due, and the taxpayer has failed to pay the amount due after demand. If this Natwx of State Tax Lien is an extension of an effective lien it Serves to continue the priority of the state's interest in the affected property of the ta:RafeY. sign Revenue Senior Agent. Title � :_. . ,:'Qate Revenue Agent Supervisor Authorized Signature Title Date FOR COUNTY OFFICIAL'S USE 7 NEBRASKA DEPARTMENT OF REVENUE —White and Goldenrc—d Cep4s TAXPAYER —.Pink Copy COUNTY OFFICE — Cowv Conic- i T= A?rAC lED tiMCB(S) C! !R: LM (OR UNUM 210114) IS (ARE) TO BE PILED 01W MUM WA 1111110112M Olt DEWS. THE DOCUltENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. LGOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TO BE ONCE PER MONTH A?W THERE WILL BE NO PRE- PAYM04T OF FEES. TBANK YOU FOR YOUR COOPERATION. t 3i'l �6 r' s .