200809259 - Laserfiche WebLink

Browse

11/04/2008 TUE 13:49 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall 121004/004 Please forward to: Nebraska Dept of Revenue 4500 Ave I PO Box 1500 5cottsbluff, NE 69363.1500 200809259 ~ \) ~ 1N'",bort..,k_. D...._nf1M!lM alf REVENUE 'WWVi'."'.Y."'U.."'...OIV NOTICE OF STATE TAX LIEN PLEASE DO NOT WRITE IN THIS SPACE This Notice of State Tax Lien 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 remain 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 Federalldentilicalion Number 14105489 Lien Serial Number Lien Filed With (lsoCial Security Number rpouse's Social Security Number 80180074 00 Register of Deeds DCounty Clerk XXX.XX-0783 XXX-XX-7011 Date of Lien Lien Type County 10/2912008 [!I Original Dconlinuation o Corrected Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Thaddeus J & Cynthia A Stobbe Street Address Street or Other Mailing Address 712 West 13 City ::state Zip Code City state Zip Code Grand Island NE 68801 Tax Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 22 2004 11/04/2007 4,594.01 289.36 1,420.43 6,303.80 TOTAL $ 6,303.80 I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska 10 thl! determination of the amount shown to be d nd the taxpayer s failed to pay the amount due after demand. If this Notice of State Tax lien is an extension of an effective lien, it serve continue e pri . of the state's interest in the affected property of the taxpayer. sign here Revenue Agent Title Revenue Supervisor TiUe 10/29/2008 Date 308 632-1200 Telephone Number 10/29/2008 Date ~-49-4-1974 Rev. 2-2002 Supersedes ~-494-1974 Rev. 10-1995 y;