|
<br />08/18/2006 16: 20 FAX 140'24714429
<br />
<br />NEBRASKA Dee
<br />
<br />IaI 0021002
<br />
<br />Please return to;
<br />STATE OF NEBRASKA
<br />DEPARTMENT OF REVENUE
<br />1811 WEST 2ND ST sm 460
<br />GRAND ISLAND NE 68803
<br />
<br />200607420
<br />
<br />1111111111'
<br />
<br />99864664t&-2 PII': 1
<br />R , R FOODS, LLC
<br />Filed: 08/18/2006 01:06 PM
<br />
<br />\)\1.
<br />
<br />Ir
<br />
<br />
<br />NOTICE OF STATE TAX LIEN
<br />
<br />nC'llra$1I*
<br />ila~
<br />Q( roven p,
<br />
<br /> PLEASE DO NOT WRITE IN THIS SPACE
<br />This Notice of Stale Tax Lien i,s issued by the Nebraska Department of
<br />Revenue for unpaid taxes pursuant to'the revenu~ laws of1he'state-of '
<br /> . '
<br />Nebraska. Notice is hereby given that taxes including penalties and
<br />interest, which are sho"n below, an~ due from the taxpayer' specified
<br />below and remain unpaid 'after demand. These taxes constitute a lien. I
<br />in the county for real and personal property belonging to the ~~payer
<br />or hereafter aCQuired.
<br />Nebraska Identification Number Federal Identification Number
<br /> 9294503
<br />lien Serial Number Lien Filed With Social securIty Number SPCl~~e:s Social ~ecurity Number
<br /> OJ.;) nln I n0'1h ". : " ' " 0.R~ister pf D~eds : 0 CO,unty ,Clerk, ., . :,
<br /> ..
<br /> " ' , ' . : I "'. .
<br /> , . ~ ..' ,','
<br />Date of lien 1-, - . .. ' ...-, .... lien Type' ,;.,"' ' .-. " -' County',.:.._ ',' " ," ~ . - - - ' , "
<br /> -...... .. .. . .-- ..' - - -, ...- . - "W' . .... . . ~ .- --- , -
<br /> 08/14/2006 . ~;q.~9in~L.D_~~nt!nuali2.~ ... _ D~o.~rel;t.e~:_ . HaU".:: I, .,
<br />,. .. \..,.' .
<br /> -- . . -.. --. . ... .. .. '-' m
<br />I BUSINESS NAME AND lOCATION ADDRESS tAXPAYER NAME AND MAILING ADDRESS 1
<br />Business Name Name'
<br /> R & R Foods, LLC
<br />Street Address Street or Other Mailing Address
<br /> 405 East 2nd Street
<br />City State Zip Code City State Zip Code
<br /> Ottumwa 'IA 52501
<br />I Tax \
<br /> Category Tax Period Date of Amount of Tax Penalty Interest Additions ' Balance of
<br /> Number Assessment Assessment Due
<br /> 07/01/2"005- '. -- .. .
<br /> 01 04/16/2006 06/07/2006 27,832.66 . 4,491.33 2,127.54 34,451.p3
<br /> 21 01/01/2005~ 02110/2006 .6,923.25 1,216.43 340.08 8,479.76
<br /> 12/31/2005
<br /> 21 01/01/2006- 08/1112006 2,961.87 112.47 40.84 3,115.18
<br /> 04/1612006
<br />-- . --- -- '-' . - -- .... -~ ~- ..- . - ..
<br /> . -~ .., .- ~. ..... "~ . -. ...-- ~_. -, . ... .. -- --~ - ... .. . -.. - . -' -
<br /> .. - -' .. ,
<br /> ,- . " ~, . .,i - .' ," . . -." . -
<br />--.. . -- ,.. .. nn" . , .- .~._~ ~ ..- .--~ ....... -.-- . .- .... ... . .. .. I:. .
<br /> .~~ ..ft . . . _1".- _ _. n'_ ... .. __,n._ , .- . - .~
<br /> , ..' ", .. .. ,"
<br /> " .- -' TOTAL $ 46,046.47
<br />..
<br />
<br />I hereby certify that the Nebraska Depl!rtment of Revenue has compiled with the revenue laws.. of the State of Nebraska In.tIJ~L.
<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 Uen is an extension of an effectl e lien, It serv~s to continue the priority of the state's interest in the affected property of the taxpayer,
<br />
<br />. . ~ . . . -." Revenue SeniOr Ailen; R / J 5l.J.1J(J ~ _: ....- ': 308 385-6073
<br />
<br />sign Prepare!'s Signature Title Date Telephone Number
<br />
<br />here ~ Revenue Supervisor . C(f )10 1-
<br />
<br />~ . r
<br />'\-o'194.1974,R.V- 2-2002 $upMS_d<ls 4-494-1974 R~v. '0-1995 f')\:,
<br />
<br />
<br />
|