200708940 - Laserfiche WebLink

Browse

10/17/2007 WED 16:30 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall l2I002/002 of() Please forward to: Nebraska Dept of Revenue 4500 Ave I PO Box 1500 Scottsblutf, NE 69363-1500 1111 IlIm;n II'I 9907529827-1 PSI!!: 1 ~~I;d~I7:~1~/2007 09:46 AM tr 200708940 NOTICE OF STATE TAX LIEN IIlIb,atka dtll4lo1l'11ti1l O(~. PLEASE DO NOT WRITE IN THIS SPACE This '~otice of State Tax ~ien Is Issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenUe laws of the state of Nebraska. Notice is hereby given that taxes including penalties and _.Interest, which are shown below, are,due from the taxpayer specified below and'remaln unpaid after demand. These taxes constitute a lien in the county for real and' personal property belonging to the taxpayer - or hereafter acquired. - Nebraska Identification Number Uen Filed With Soc~1 Security Number spouse's Social Security Number 11857676 . [K] Register of Deeds D County Clerk 505-64-2053 Lien Serial Number , Uen Type Date of Lien County 071 ?40,1 07 00 Original' D Continuation D Corrected 10/15/2007 Hall . I BUSINESS NAME AND LocATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I Business Name Name Jimmy W Bell Street Address Street or Other Mailing Address 412 East 6th Street City State Zip Code City Stale Zip Code Grand Island NE '66801 I Tax I Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 22 2001 02/18/2007 961.00 245..25 '360.42 1,586.67 . 22 2002 02/18/2007 799.00 199.75 ' 228.53 1,227.26 22 2003 11/20/2006. 105.00 26.25 23.71 154.96 '.- TOTAL $ 2,968.91 sign here I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determinali of the amount shown to be due, and the taxpayer has failed 10 pay the amount due after deJ1)and. If this Notice of State Tax Lien i n extension o~ i n ,:ffective lien, it serves to continue the priority of the stale's intere~t Jt the .affecled property of the taxpayer. Revenue Agent / tI//5"/o-::;-' 306 632-1200 ignatu _ ' Tille Date, Telephone umb t Revenue Agent Supervisor /.tJ '/ UtJ 9"'" Tille Date .."-,,,..... ,..........~ .....,,,. .... ,. ""d)