Laserfiche WebLink
<br />04/05/2006 10:47 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 004 <br /> <br />1 ' <br />-~ <br /> <br /> <br />9906446858-4 Pllll : 1 <br />CHRVURRIA GUADALUPE <br />Filed: 04/03/2006 04:09 PM <br /> <br />200602968 <br /> <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />69101 <br /> <br />ar <br /> <br /> <br />, ' <br />NOTICE OF STATE TAX LIEN <br /> <br />~cbl'#l<lI- ' <br />~jlQjo\m.nt <br />Oft~ <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by t~e Nebraska Department of <br />Revenue"for unpaid taxes pursuant to the reven-ue laws'ofthe-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 Federalldentific;ation Number <br /> 42273161 ,- '''-. <br /> .... .' !~ <br />Lien Serial Number Lien Filed With Social ~ecurity Numb~r ',: $pouse's Social Security Number <br /> I " <br /> '5:1050040 - - 129 Regl~ter, of .De~ds D County Clerk 623-40-1707. - ' . <br /> ,. .' , <br />Oate of Lien " .. , , ' 'Lien Type. ' County.. ...- -- ... . n'". ., ... 'uO <br />.. <br /> IZl Original D Continuation ' D Correcte.d. " <br /> 03/30/2006 HALl- .... . .... <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I <br />Business Name Name <br /> GUADALUPE CHAVURRIA <br />Street Address Street or Other Mailing Address <br /> 2323 SELLWOOD DRIVE APT 213 <br />City State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68801 <br />I Tax I <br />Category Tax Period Date of Amount'of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 2003 02127/2005 948.00 47.40 110.80 1,106.20 <br />.. <br /> TOTAL $ 1,106.20 <br /> <br />I hereby certify that the. Nebraska Department of Revenue has_complied 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 <br />Tax Lien>> an exlellSionJ( an ~ective I,ien,_ it serves to continuethe priority of the state's interest inthe.affected propertyoHhe taxpa~e~ . ; <br /> <br />': . ... atl,. t: c);~ Revenue Agent 3.~i'O -00 306 5358294 <br />sl~n P~arer's Sign re Title Date Telephone Number <br /> <br />here ...?u ~ Revenue Supervisor .5-3CJ-o(; <br />Authorize gnature Title . Date. DI' <br />......,,,. "'. ,.""" ,"'..... ...~"'''w ,."" ..~: <br />