Laserfiche WebLink
09/16/2003 09:38 FAX 140244114429 NEBRASKA UCC Z002/003 <br />200312403 <br />NOTICE OF STATE TAX LIEN <br />Pfcam ratum to: <br />This Notice of State Tax Liars is issued by the Nebraska Department of <br />STATE OF NEBRASKA <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />DEPARTMENT OF REVENUE <br />Nebraska. Notice is hereby given that taxes including penalties and <br />1811 WEST 2'''ro ST STE 460 <br />interest, which are shown below, are due from the taxpayer specified <br />GRAND ISLAND NE 68803 <br />Or <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />C.oDp�tfYK1i <br />Netraska Identification Number <br />orrcvarlur <br />Social Security Number <br />200312403 <br />NOTICE OF STATE TAX LIEN <br />I hereby certlty mat the NeDraSKa ueparunen[ of revenue rids iINncu I L I LI Io Icvcnuc i <br />determination of the amount shown to be due, and the taxpayer has falied to pay the amount due after demand. If this Notice of State <br />Tax Lien I an extension of an effec ve lien, it serves to continue the priority of the state's Interest In the affected property of the taxpayer. <br />�/, ,',j� '��j,/ Q, .� 306 386-6067 +� J lr Gf/ Tss r <br />Sign Preparet's Signature Title Date Telephone Number <br />here Revenue Supervisor <br />Au on d n re Title MaTe <br />4. 494.1974 Rev. 2.2002 Supersedes 4- 494.1974 Rev. 10 -1395 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Liars 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 />Netraska Identification Number <br />Lien riled With <br />Social Security Number <br />Spouse's Social Security Number <br />17450128 <br />Z Register of Deeds ❑ County Clerk <br />506 -46 -0742 <br />Lien Serial Numbe _ <br />Lien Type <br />Date of Lien <br />County <br />q - q,: <br />Original Continuation Corrected <br />09/04/2003 <br />Hell <br />BUS_INEss kAME AND LOCATION <br />ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name - ` <br />Thomas A Wagoner <br />Street Address <br />Street or Other Mailing Address <br />PO Box 1585 <br />City state Zip Code <br />City State ZIP Code <br />Grand Island NE 68802 <br />Tax <br />Category <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />22 <br />1996 <br />08/15/2000 <br />1,361.27 <br />95.95 <br />766.55 <br />2,243.77 <br />22 <br />2000 <br />05/0912001 <br />2,711,00 <br />135.55 <br />527.87 <br />3,374.42 <br />22 <br />2001 <br />05/15/2002 <br />508.00 <br />25.40 <br />53.19 <br />586.59 <br />22 <br />2002 <br />08/22/2003 <br />2,250.00 <br />112.50 <br />52.52 <br />2,415.02 <br />TOTAL <br />$ 8,619.80 <br />I hereby certlty mat the NeDraSKa ueparunen[ of revenue rids iINncu I L I LI Io Icvcnuc i <br />determination of the amount shown to be due, and the taxpayer has falied to pay the amount due after demand. If this Notice of State <br />Tax Lien I an extension of an effec ve lien, it serves to continue the priority of the state's Interest In the affected property of the taxpayer. <br />�/, ,',j� '��j,/ Q, .� 306 386-6067 +� J lr Gf/ Tss r <br />Sign Preparet's Signature Title Date Telephone Number <br />here Revenue Supervisor <br />Au on d n re Title MaTe <br />4. 494.1974 Rev. 2.2002 Supersedes 4- 494.1974 Rev. 10 -1395 <br />