Laserfiche WebLink
<br />10/06/2008 MON 15:57 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />14J002/004 <br /> <br />8J <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />200808543 <br /> <br />11111/1"'" <br /> <br /> <br /> <br />KeNNEOY RICHARD T P9S, 1 <br />Ftled: 10/06/2008 01:55 PM <br /> <br /> <br />.~ <br />fol.,......'...k. D_rtrn4Iont ." <br />REVENUE <br /> <br />''''"'w...... ......." ..... 'n;...0iIV' <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <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 thaltaxes 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 aCQuired. <br />Nebraska Identification Number Federalldentificalion Number <br /> 32958234 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> 72501544 I!IRegister of Deeds Dcounty Clerk XXX-XX-4386 <br />Date of Lien Lien Type County <br />10101/2008 00 Original 0 Continuation o Corrected Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Richard T Kennedy <br />Street Address Street or Other Mailing Address <br /> 2215 N Sycamore Street <br />City titate Zip Code City state Zip Code <br /> Grand Island NE 68801 <br />Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 2006 OS/23/2007 804.00 40.20 94.28 938.48 <br /> TOTAL $ 938.48 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br /> <br />" <br /> <br /> <br />sign <br />here <br /> <br />nd the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension or an <br />continue the pri y of the state's interest in the affected property of the taxpayer- <br /> <br />~ Revenue Agent 10./01/2008 308632-1200 <br />Title Date Telephone Number <br /> <br />Revenue Senior Agent <br />Title <br /> <br />10101/2008 <br />Date <br />01-494-197<4 Rev. 2.2002 SupllrHde. <4-'190\.19701 Rev. 10.1995 <br /> <br />of <br />