Laserfiche WebLink
Notice of State Tax Lien <br />llre�ra*a <br />tmont a Read instructions on reverse side <br />revenue <br />Liensaala3 Number -en 7ypa <br />Daly SDCIa7 Security N�mbaT <br />Orlgina! <br />j L 03 -4 <br />0- 5044_ <br />Re ° a 5 1 5 <br />5! ,en Frlatl W Ws socral securily $5! 003855 <br />Nsassa I•D- No. County X Register of Daecs!; NUmber <br />3333358 Hall .11 Cdun•y clerk <br />502 -42 -0587 <br />BUSINESS NAME AND LOCATION ADDRESS <br />1 TA %PAVER NAME AND MAILING ADDRESS <br />INa�ie <br />Business Ne Willard R. & Laurel J. Larsen <br />L & W Transportation Inc. 5treei ar Dtnet 'Nei +ins Aoarsss <br />Street Address 1 110 West 9th - -- -- <br />110 West 9th S;a:° Zip core <br />State zip cod 'city NE 58883 <br />`W ood River, HE 58883 Wood River,__ - <br />W the <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid ataxme pursuant TO are <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties <br />shown below. are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />alien in the county for teal and personal property belonging to the taxpayer or hereafter acquired. — <br />Balance of <br />Tax ! Date of Penalty Interest Additions Assessment Due <br />i Gsaydry Tax Period Amount of Tax <br />+ Assessment <br />I Number <br />107 -01 -84 thru 5 85 238 92 47 78 26.12._ 312.82 <br />� 3t]- <br />10 -01 -84 thru i 542.57 <br />21 12 -31 -84 J-6-85 482.79 24.14 <br />TAXPAYER -. P nk Copy COUNTY OFFICE – Canary. IPY <br />NEBRASKA DEPARTMENT OF FiEV:NUE 1 ",:k en7 p'cfRr, +A ;area 4 494 ra we.. ' til <br />. >v<<saoes a.a sf s.ra weo. 5 -60 <br />IN] <br />S <br />A <br />_ <br />TOTAL <br />I S 855.49 <br />^.gresy CBrtity tna; the Nebraska Deparime ^t o' Revenue I "ids [ore plied v: tin the revenue laws ct the Sa, c +' <br />inaiiOn of the Amount SnOWn to be Cue. antl ine to.payer nas'aileC fo P?Y 'e? a eauni.e•estait.' sense a!'B C to Cl pr <br />L',Bn IS an exien5lpn of an etfeLtiye IfeR Il serves SO Cant6 tnf pr,OrttY n <br />Nebraska ,n :ne bete+ - <br />hDeriY • "ter ne'Sax Pa Ye% <br />?'? <br />i. <br />Revenup Agen# <br />•,e <br />8 -12 -RF — <br />Date <br />here <br />keparar S lure <br />Special Agent <br />R -12 -R5 <br />Daie <br />T tie <br />AutnonDea Sign re <br />— <br />FOR COUNTY OFFICIAL'S USE ____ <br />—_— <br />' <br />- - -- <br />TAXPAYER -. P nk Copy COUNTY OFFICE – Canary. IPY <br />NEBRASKA DEPARTMENT OF FiEV:NUE 1 ",:k en7 p'cfRr, +A ;area 4 494 ra we.. ' til <br />. >v<<saoes a.a sf s.ra weo. 5 -60 <br />IN] <br />S <br />A <br />