Laserfiche WebLink
04//24/2003 16:11 FAX 14024714429 <br />NEBRASKA L'CC <br />200305072 <br />Z 002/003 <br />NE S.e of St.t. - uEr STL <br />9903271920 -0 Pus: 1 <br />DOMINGUEZ EDY D <br />Filed: 04/24/2003 02.20 PM <br />NOTICE OF STATE TAX LIEN <br />NOT WRITE IN THIS <br />This Notice of State Tax Lien is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />In the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska identification Number, <br />Lien Filed With <br />Social Security Number <br />Spouse's Social Security Number <br />37133381 <br />- - -- <br />f]X Register of Deeds <br />� County clerk <br />507 -31 -3303 <br />508 -06 -6778 <br />.fen Serial Number <br />Intarest <br />Lien Type <br />Balance of <br />Date of Lien <br />County <br />003430186 <br />X❑ Orlglna� El Continuation <br />❑ Corrected <br />04/23/2003 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />EDY D & ANA DOMINGUEZ <br />Street Address <br />Street or Other Mailing Address <br />715E 9TH ST <br />City <br />State Zip Code <br />City <br />State 71p Code <br />r,RANn ipl Awn <br />kim QQan4 <br />Tax <br />-- <br />- - -- <br />Category <br />Tax Period <br />I <br />Date of <br />Amount of Tax <br />Penalty <br />Intarest <br />Additions <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />22 i 1997 1 10/23/2000 1 260.25 I 13,01 1 .115.21 1 1 388.47 <br />1 1 ( ' I TOTAL. I $ 388.47 <br />1 hareby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the <br />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 fj <br />Tax Lien is n extensio f an effective fen, it serves to continue the priority of the state's interest in th affec d property of the taxpayer t <br />Revenue Agent 103103 402 471 -5835 <br />si jn Pr rar's Si nature Title Date Telephone Number <br />here ` Revenue Supervisor <br />Authorized Sign ure Title Date <br />4. 494 -1974 Rev. 2 -2002 SLp.m.4..4 -494 -1974 R— I0 -1 BBo <br />a <br />4 <br />I <br />