200509918 - Laserfiche WebLink

Browse

10/04/2005 17:05 FAX 14024714429 NEBRASKA uee @ 0021003 ~ 200509918 Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE 69101 Ir l\~_ dOPl\~rA ,Q(~i119 NOTICE OF STATE TAX LIEN PLEASE no I\Jr'lT WI:O'TI: ,." TUI<> "".. ..,..'" This Notice of State Tax Lien is issued by the Nebraska Department of II'Inlll"ll ~I it I Revenue for unpaid taxes pursuant to the revenue laws of the state of I Nebraska. Notice is hereby given that taxes including penalties and I interest, which are shown below, are due from the taxpayer specified ! below and remain unpaid after demand. These taxes constitute a lien ; in the county for real and personal property belonging to the taxpayer 9905415671-9 PSI: 1 I NUNEZ JESUS or hereafter aCQuired. Fi1.d: 10/04/2006 12:00 PM . - .. - . ~.~ --",~. ,- Nebraska Identification Number Federal Identification Number 42368189 Lien Serial Number' Lien Filed With Social Security Number Spouse's Social Sec'urit)' l\Jumber 41980007 IKI Regis,ter of, Deeds D County Clerk 254-77 -4529 Date of Lien Lien Type County ''1 09/29/2005 ~ Original 0 Continuation o Corrected . HALL -." r BUSINESS NAME AND LOCATION ADDRESS . TAXPAYER NAME AND MAILING ADDRESS I Business Name Name Jesus Nunez Street Address Street or Other Mailing Address 1210 W 7th 8t City State Zip Code City State Zip Code Grand Island NE 68801 I Tax l Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due , 22 2002 05/16/2004 302.00 75.50 44.53 422.03 .. -. TOTAL $ 422.03 .. sign .. here .. I hereby certify that the Nebraska Department of R-evenue has complied with the revenue laws of the State of Nebraska in the determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State -Tax Lien i an extension of an effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. - ? Revenue Agent q-;;;q-O,C: 30B 535~8294 Tille Date Telephone Number Revenue Supervisor I q:.;:;JJ-1'T r- Title Date 4-'194-1974 Rev. 2-2002 Supersedes 4-'19'H974 Rev. 10-1995 01)