Laserfiche WebLink
11/17/2004 17:33 FAX 14024714429 NEBRASKA UCC <br />Or <br />nebraska <br />department <br />.1 revenue <br />20041121'7 <br />Q008/010 <br />F116d; 17/164004 01:49 PM <br />Notice of State Tax Lien <br />PLEASE DO NOT WR91TE IN THIS SPACE <br />INMI'VIDUAL INCOME TAX <br />SOCe SECa N3: 507066382 <br />NEBRa .IDENT- NOa 4 0 T5�434 <br />SPOUSE SOC. :SEE. NO& <br />1AXABLE YEAR 2000 <br />LIEW NO- %33 27 AA 089 <br />COUNTY HALL JESUS 3 ELORES <br />DATE 0.9 NaTIC.E 10/03/2003 20124 11TH AVE <br />FATE OF ASSESSPIENT 812912003 GRAND ISLAND 1M. »_ 68903 <br />THIS NOTICE OF STATE TAX LIEN 15 TSSUcD BY THE NE3RASKA DEP.ARTHENT' OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT T O THE REVENUE LAWS OF THE <br />STATE OF N '7:BRACKA* f�aTIEE IS HEREBY GIVEN THAT INDIVIDUAL INC01;5 <br />TAXES TNELUDING PEN,ALTIE-S AND NTERESTs WHICH ARE SWJJWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND- <br />THESE $ AXES ;ONST# T UTE A LIEN IN THE COUNTY FOR PROPERTY RELOhGING .� 0 <br />THE TAXPAYER OR HEREAFTER ACQUIRED- <br />AMOUNT aF TAB . f a . f • . a . • a . • . 55 _5 9456 <br />PENALTX •t w • w. w a ,'� I7.9'$ <br />.INTEREST iCOMPU ED TO 10/03/2003) . . • . . . . • .�.�..3.•Li� <br />TOTAL AMMUNNT DUE • a . y . 699,w I% <br />1 KREBY CERTIFY T HA THE INIEBRASXA, DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THEE STATE OF 9EBR.ASKA IN TPE: DETERMIN1.1109OF <br />T RE AINWNT SHOWN TO 8E DUFv If THE TAXPAYER HAS FAILED TO PAY THZ <br />A �Myil�T ME AFTER DEMAND, If T'H'IS NOTT ."E �'F STATE TkX .LIEN IS AN <br />EXTENSION IwJN a.eF AN rte.. �,�FEL "MrIVE L ILi.?M SERVES TO Cl [N 1.LNLE. T14'L" PRIORITY i'F <br />THE S T ATE * S INTEREST s N THE AFFECTED PROPERTY OF TF�E TAXP �iYE R• <br />7NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />rL,rwr w,fh env (np — m wcfad narxsr - - - - 7- 145- 1979Aev. 2 -2006 Supersedes 7- 145 -1979 Rev. 10 -1995 <br />