Laserfiche WebLink
<br />07/16/2007 MON 15:58 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/002 <br /> <br />Dq, <br /> <br />200706018 <br /> <br />il~ nllll I'llrn <br /> <br />9907517487-5 Pgs: 1 <br />CORNELIUS JEFFREY T <br />Filed: 07116/2007 03:00 PM. <br /> <br />IIr <br /> <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />r'Il/"ll':L$li;a <br />dOP/l"'",C<1' <br />1,11 '1IV~<1110 <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />This Notice of State Tax lien is issued by the Nebraska Department of <br />Revenue for'unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />Interest, which are shown below, are due from the taxpayer specified <br />, below and remain unpaid after demand. These taxes constitute a lien <br />In-the county for real and personal property belonging to the taxpayer <br />or hereafter ac uired. . <br />Nebraska Identification Number Federal Identification Number <br />29811945 <br /> <br />Lien Serial Number <br /> <br />Lien Filed With <br />IRl Register of Deeds D County Clerk <br />Lien Type <br />07/05/2007 ~ Original 0 Continuation <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br /> <br />S9cial Security Number <br />506-04-5877 <br /> <br />County <br /> <br />Spouse's Social Security Number <br /> <br />Date of Lien <br /> <br />D Corrected HALL <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Business Name <br /> <br />Name <br /> <br />Street Address <br /> <br />JEFFREY T CORNELIUS <br />Street or Other Mailing Address <br />4120 MANCHESTER RD <br /> <br />City <br /> <br />State <br /> <br />Zip Code <br /> <br />City <br /> <br />GRAND ISLAND <br /> <br />State <br />NE <br /> <br />Zip Code <br />68803 <br /> <br />Tax <br />Category Tax Period <br />Number <br /> <br />Date of <br />Assessment <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Interest <br /> <br />Additions <br /> <br />Balance of <br />Assessment Due <br /> <br />22 <br /> <br />12/31/2005 <br /> <br />OS/23/2006 <br /> <br />4.573.00 <br /> <br />523.65 <br /> <br />397.42 <br /> <br />5,494.07 <br /> <br />sign .... <br />here .... <br /> <br /> <br />TOTAL <br /> <br />$ <br /> <br />5,494.07 <br /> <br />rtment of Revenue has complied with the revenue laws of the Stale of Nebraska in the <br />e due, and xpayer has failed to pay the amount due after demand. If this Notice of Stale <br />lie ,i e es t continue the priority of the state's interest in t e affected property of the taxpayer. <br /> <br />01 402 471-5835 <br /> <br />Telep7jt;:f, <br /> <br />Date . , <br />4-494-1974 Rev. 2-2002 Supersedes 4-494.1974 Rev, 10.1995 <br /> <br />\V <br /> <br />"--- <br />