200610817 - Laserfiche WebLink

Browse

NEBRASKA Dee ~ 0021002 12/05/2006 18:20 FAX 14024714429 ~,. V IIr ~ebnlska . departmllnt of revenUI ... .. . 200610817 11111"""" 9906483474-5 Pgs. 1 I I'l9$TEK HERBERT L ., , F~J~d: ,12/06/2006 03:45 PM Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE 6910 1 , - , Notice of State Tax Lien PLEASE DO NOT WRITE IN THIS SPACE soc. SEC. NO. NEBR. I DENT . NO,. ,SPOUSE -soc. SEC. NO. TAXABLE YEAR ' Li'EN-' NO. COUNTY DATE OF NOTICE 'DATE' OF ASSESSMENT- INDIVIDUAL INCOME TAX 508869302 24441171 ,2004 060900136 HALL 03/31/2006 01/10/2006 HERBERT L MOSTEK 1510 E STOLLEY PARK RD GRAND ISLAND NE - 68801 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME ' TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE ,TAXPAYER OR HEREAFTER ACQUIRED." AMOUNT OF TAX. . . . . . . . . . . . 881.00 PENALTY . . . . . . '. . . . ~ . . . . .. 220.25 INTEREST (COMPUTED: TO 03/31/2006)' .. .. .. 50.69 TOTAL AMOUNT DUE . . . . . . . . 1,151.94 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA' IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE_ DUE, AND THE TAXPAYER RAS F~ILED TO PAY THE AMOUNT DUE AFTER DEMAND,. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF ~ EFFECTIVE -LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. ~~ AU~ SIGNATURE ~~~..-... T~~""""" / ! :3.Q-:q~/ (i;'i )$.~-.gf5J + DATE/TELEPHONE . . . /,(-: -!~c;?~. . . . . DATE - ,I IIT15 Q()