200411985 - Laserfiche WebLink

Browse

12/10/2004 12:38 FAX 14024714429 NEBRASKA UCC Q002/003 •ar>a�r�r dOPllnmsnt Of rORbrile 200W St 9904364858-1 Pas: 1 sANOHEz OFELIR Filed; 12109!2004 02:57 PM i NOTICE OF STATE TAX LIEN PLEASE DO NOT1WRITE IN THIS SPACE This Notice of State Tax Lien is issued by the Nebraska Department of 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 acauired. Nebraska Identification Number Federal Identification Number 7941099 iL Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number 3 t , L X❑ Register of Deeds n County Clerk 593 -70 -7172 Date of Lien Lien Type County 11/25/2004 E] Original Continuation Corrected Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Ofelia Sanchez Street Address Street or Other Mailing Address 215 W 5th Street city State Zip Code City State Zip Code Grand Island HP RRAni Tax Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 01 1 'viv /2004 1 10/24/2004 I 650.00 140.00 I 30.35 I I 820.35 f I f I TOTAL I$ 820.35 I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the /r 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 Lien is an extension of an effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. L ,, {- r; Revenue Senior Agent 3 � 3 55 -6073 , sign Prep rsSignature � Title Date Telephone Numb r here Revenue Supervisor 1 Authorized t Title at@ r