Laserfiche WebLink
<br />01/17/2008 THU 15:09 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210021004 <br /> <br />p <br /> <br />200800438 <br /> <br />IIIIIIII <br /> <br /> <br />Cl}LBERT lEE wG PSI: 1 <br />FlIed: 01/17/2008 02:46 PM <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br /> <br />~~mo~ <br />REVENUE <br /> <br />www.I.,_.n"'.."'..oo.... <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br /> PLEASE DO NOTWRITE IN THIS SPACE <br />This Notice of State Tax Lien'js issued by the Nebraska Department of ) <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />NebraSika. Notice Is hereby given that taxes hlcluding.penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These _taxes constitut,e a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number Federal Identification Number <br /> 6854397 <br />Uen sen~~\~~l 000+. Lien Filed With Soelal Secunty Number Spouse's Social Secunty Number <br />IXIRegist~r of Deeds o County 'Clerk 506 72 9506 <br />Date of Lien Lien Type - County <br /> 01/15/2008, [gJOrlglnal DContinualion Dcorreded, Hall <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAIUNG ADDRESS <br />Business Name Name <br /> lee W Culbert <br />Street Address Street or other Mailing Address <br /> POBox 5323 '. <br />City State ~p Code . City State Zip Code <br /> . Grand Island NE 68802 <br />Tax <br />. Category Tax Period Date of Amount ,of Tax Penalty InterMt Additions Balance of <br />Number Assessment Assessment Due <br />01 10/01/2006- 11/05/2007 324.1.7 25.22 349.39 . <br />12/31/2006 <br />01 01/0112007- 11/05/2007 993.67 99.37 57.71 1,150.75 <br />03/31/2007 <br />01 04/01/2007- 11/05/2007 493.79 49.38 18.03 561.20 <br />06/30/2007 <br />01 07/01/2007 11/05/2007 278.85 27.89 5.01 311.75 <br />09/30/2007 <br /> TOTAL $ ,.., <br /> 2.373.09 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the detennination of the <br />amount shown to be due; and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, It serVes to co tin e prionty of the state's interest in the affected property of the taxpayer.' <br /> <br />. - <br /> <br />sign <br />here <br /> <br /> <br />Revenue Senior Agent <br />Title <br /> <br />'. Revenue Supervisor <br />Title <br /> <br />01/15/2008 <br />Date <br /> <br /> <br />.CW <br />