Laserfiche WebLink
NFB&-A&44A <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2011000935-7 Pages: 1 <br />Debtor Name: DEREK L CLEMENS <br />Filing Date and Time: 11/20/2020 09:42 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Lien is issued by the Nebraska PLEASE DO NOT WRITE IN THIS SPACE <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 />Net ask# ID Numher <br />45739315_ <br />Lrer, Serial Number <br />12065238 <br />Date of Lyre <br />[Federal Narrater <br />I r. n Fileg WO, Soeiat S hly Number[ ] Ravi:a r rt Delius ❑ County Cl -k XXX -XX -6586 <br />.ihrt `ype <br />November 12, 2020 it �Comirrcatort uw-rw;teHAL <br />L <br />Business Name and location Address Taxpayer Name and Mailing Address <br />202009117 <br />4tA9ise s Social Semu,ty Number <br />DEREK L CLEMENS <br />223 E CHARLES ST <br />GRAND ISLAND NE 68801 <br />[Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax ] Penalty <br />ii <br />Interest Costs <br />Total Due <br />Individual <br />2012 <br />11/20/2019 <br />$994.00$248,50 <br />$834.001 $208.50 <br />$844,001 $211.00 <br />$263.29 <br />$195.891 <br />$172.92 <br />$87.92 <br />$55. 03 <br />1,505.79 <br />1,238.39 <br />1,227.92 <br />716.67 <br />_ <br />530.03! <br />Individual <br />2013 <br />11/20/2019 <br />1Individual <br />2014 <br />11/20/2019 <br />Individual <br />2015 <br />11/20/2019 <br />$503.00 $125.75 <br />Individual <br />�... <br />2016 <br />� <br />11/20/2019 <br />$380.001 $95.00 <br />_.—.... _. <br />Total <br />_. <br />$5.218.80 <br />I cerynly t at the oo Syka Depa rrertt of Revenue has cern{ t. •d w'tl: lir lama's of the Slate - t Nuteas.otin Jeterrr.NMrq the amJrm' glom, M, be flu,+ <br />and that the uorpaver has failert to pay the amount cue atter M'^,andtl het Netice of Stale :a>t lien is a', e?ktctive ken a-4 serves to coot ,ear the prer+ty ci <br />tee Stain -s a ;_�, n t.e a' ,laed puerto 011% taN,uyer. <br />Revenue Senior Agent 11/12/2020 1402)471-4339 <br />Title pate Phone Narrrd,ar <br />Revenue Supervisor 11/12/2020 <br />;>Fe <br />Date <br />a-404•19:4 FMuA-xC.ff $LBW oebes 4.iiO). 354 lira. 525, <br />