200401149 - Laserfiche WebLink

Browse

02/05/2004 17:02 FAX 14024714429 t )� v l Please forward to: Nebraska Department of Revenue 4500 Ave I PO Box 1500 NEBRASKA UCC 200401IAQ 141 002 MI Scottsbluff, NE 69363 -1500 NOTICE OF STATE TAX LIEN This Notice of State Tax Lien is issued by the Nebraska Department of PLEASE DO NOT WRITE IN THIS SPACE Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. Nebraska Identification Number Lien Filed With Social Security er- ty Nu Dose social Security Number 37161032 OX Register of Deeds [:] County Clerk 462 -30 -0362 Lien Serial Number Lien Type Date of Lien County 942310044 [ 10 ginal QX Continuation Corrected 08/19/1994 Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Rogelio Candanoza Street Address Street or Other Mailing Address City State Zip Code City Rt 1 Box 301 2 State Zip Code Tax Weslaco TX 78596 Category Tax Period Date of Amount of Tax Penal Number Assessment Penalty Interest Additions Balance of Assessment Due 22 1989 04/0611994 3,118.65 779.66 1,540.70 5,439.01 TOTAL $ 5,439.01 1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax LAanteension of an effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. Revenue Senior Agent _ 308 632 -1200 �sign atu Tale Dthere Telephone Numb r Revenue Agent Supervisor Authorized Signature Title Date - 4 -494 -1974 Rev. 2 -2002 Supersedes 4 -494 -1974 Rev. 10 -1995 UP GTTAf`1 ADITC.