Laserfiche WebLink
0`\) <br />Good cite. Great Se -vice. <br />0.0411,11414T OW •VISIAMII <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000333-6 Pages: 1 <br />Debtor Name: JANN N DANIELSON <br />Filing Date and Time: 01/06/2022 10:11 AM <br />Notice of State Tax Lien <br />2.02200173 <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 Iien.This lien will expire end <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 Nen or continuation statement <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska 10 Number <br />30628172 <br />Federal ID Number <br />Lien Serial Number <br />12287601 <br />Lien Filed With: <br />NI ReWcter of Deeds ❑ County Clerk <br />Social Security Number <br />XXX X(-8140 <br />Spouse's Social Security Number <br />Dile of User <br />January 03,2022 <br />Lien Type. <br />®original ❑Corxbwation ❑Corrected <br />County <br />HALL <br />usiness name and Location Address <br />Taxpayer Name and Meaing Address <br />JANN N DANIELSON <br />510 WEST KOENIG STREET <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />06/20/2021 <br />$755.00 <br />$213.75 <br />$206.03 <br />1,174.78 <br />individual <br />2015 <br />06/20/2021 <br />$1,298.00 <br />$324.50 <br />$274.85 <br />1,897.35 <br />individual <br />2016 <br />06/20/2021 <br />$1.304.00 <br />$326.00 <br />$237.00 <br />1,867.00 <br />Individual <br />2017 <br />06/20/2021 <br />$1,300.00 <br />$325.00 <br />$197.28 <br />1,822.28 <br />Individual <br />2018 <br />06/20/2021 <br />$1,239.00 <br />$309.75 <br />$143.73 <br />1,692.48 <br />Individual <br />2019 <br />06/20/2021 <br />$903.00 <br />$225.75 <br />$48.22 <br />1,176.97 <br />Total <br />$9,630.86 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien Is an effective ben and serves to continue the priority of <br />the State's interest or the elected property of the taxpayer. <br />sign ► 4%teJiw' Leal <br />here Prtsparer'ssigreture <br />',tea 444A. <br />Revenue Agent <br />Tide <br />Revenue Supervisor <br />01/03/2022 006)632-1201 <br />Date Phone Number <br />01/03/2022 <br />Authorized Signature Title <br />Date <br />4.494.1974 F19.9 11.20111 Supersedes 4449.1874 her. e-2013 <br />