Laserfiche WebLink
Goad Lite. Great Service. <br />ewmawr .:rox <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000753-3 Pages: 1 <br />Debtor Name MODESTO VAN HORN <br />Filing Date and Time: 11/22/2022 09:27 AM <br />Notice of State Tax Lien <br />202208170 <br />This Notice of State Tax Uen 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 lisn.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 />Neoraste' ID Number <br />88922774 <br />FederaION r <br />NO FEIN <br />Lien Serial Number <br />12214597 <br />Llen Flied With: <br />Social Seourdy Number <br />XXX -XX -3696 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />14 seer of 011006 ❑ C'"y Clerk <br />Data of Lien <br />November 16, 2022 <br />lien Type: <br />® Orlvhlal E3 Cciminuatton ©Corrected <br />County <br />HALL <br />Business Name and Location Address <br />axpayer Name an Mailing <br />MODESTO VAN HORN <br />1311 E PENNSYLVANIA AVE <br />MIDLAND TX 79701 <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 />2020 <br />11/05/2021 <br />$1251.00 <br />$62.55 <br />$56,35 <br />$1,369.90 <br />Individual <br />2021 <br />05/04/2022 <br />$2,670.00 <br />$158.46 <br />$47.18 <br />$2,875.64 <br />Total <br />$4,245.54 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the Stake 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 ren and serves to continue the priority of <br />the State's interest m the effected property of the taxpayer. <br />sign �tJaa�u,l o� <br />here Preparer's Signature <br />4%6 . <br />Authorized Signature <br />Revenue Agent 11/16/2022 (308)632-1201 <br />Title Date Rhone Number <br />Revenue Supervisor 11/16/2022 <br />Title Date <br />4-494-1974 Sex 64e18 eopar610e6 4.949.1974 Rex 111-2013 <br />