Laserfiche WebLink
03/03/2004 10:21 FAX 14024714429 NEBRASKA UCC <br />Ir <br />nebraska <br />department <br />of revenue <br />20040'1964 <br />9` <br />Q003/004 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />INDIVIDUAL INCOME TAX <br />SOC. SE;, s NO. 46/136661 <br />NEBR! IDENT, NO* 41736273 <br />SPIDUSE SOC. SEC, go* <br />TAXABLE YEAR 1999 <br />LIEN INCe 031920t127 <br />CO'lJNTv HALL DAVID V GOERRA <br />DATE OF NOTICE OI/11/2003 422 N CLEBT.MN •l <br />DATE OF ASSESSMENT 05/15/2D03 GRAND ISLAND N£ 6980I <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA D'EPARTMEMT OF <br />REVENUE FOR INDIVIDUAL :INCOME TAX PUr�2'St�A�]?r TO THE AEIfE'+�tiE LASS OF '�i{ <br />STATE OF NESRASXA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PE-WALTTES AND !NTERESTs WHICH ARE SHOWN BELOW ARE DUE <br />FROG} THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DE14AND. <br />TH=SE TAXES CUR TITUTE A LIEN III . THE COUNTY FOR PROPERTY BELONGING TO . <br />THE TAXPAYER OR HEREAFTER AC41L)IRED. <br />AMOUNT OF TAX ! . . s . - ! s s ! ! s ! s a . . s i 21 s 48 <br />PENALTY s s s! w 's .!. w# s s. s. s s s s. 36s07 <br />INTEREST (CUMPUTED; TO 07/1112003) . ! s ! ! . . ! 198039 <br />TOTAL AMOUNT DUE s . ! ! ! w . . . . . 956-4$ <br />1 HEREBY 'CERTIFY THAT THE ' NEBRASXA DEPARTMENT OF REVENUE HAS COMPLI-ED <br />WITH THE REVENUE LAWS 0 THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AM -tONT SHOWN T a BE DUE9 AND THE TAXPAYER HAS FAILED T€? PAS' THE <br />AMGUNT DUE ALTER ID,XANDi ' IF THIS N0,T110E OF STAT TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE. THE PRTORTTY OF <br />THE STATE *S INTEREST IN' THE AFFECTED PROPERTY OF THE TAXPA'YERO <br />•gsss- sees s s sssissss '� Miss • 1ai s <br />_ 7 f' <br />"� +'+7s. • !4! ; ! seem #�wl lil wi.... i0li•1 <br />THORIZED a3(-,'-NATURE. TITLE DAT <br />NEBRASKA DEPARTMENT, OF. REVENUE — White and Canary Copies TAXPAYER —Pink Copy;: , • >;. <br />Printed with soy ink on recycled paper - - I. • - . <br />' - - ,. .1.,..:: ,- _ ' - . - .. _ � 7- 146 -i97s nev. 2- 2000�S�.persedes�7- 745 -7979 Rev, to-1B95 , ... <br />