Laserfiche WebLink
r: <br />F <br />~: <br />~~nebra9ta <br />department <br />.,( rd.e..~.e <br /> <br />Notice of State Tax Liege <br />• Read 'instructions on isyerse aids <br /> <br />Liao Stlrfal Number Lien Typa Data Sofa{ Security Number <br /> Original 83-.•r ~ U 09 4 2 <br />3/02/10$ ^ Renewal 02_pg_g3 507-34-9934 <br />Nebraska I.D. No. County Lien Filed With Spouse's Social Security ' <br /> ®~ Register of Deeds Number <br />3734919 Hall County Clerk <br />BUSINESS NAME ANO LOCATION ADDRESS TAXPAYER NAME AND MAILING ADORESS <br />Business Name Name <br />Town Talk Lounge & Restaurant Lavern Petersen <br />asrevs ravreaa Street or Other Mallln9 Atltl BSs <br />City S4ate Zip Code Clty State Zip Cotle <br />ambrid a NE. 69022 Cambrid a NE. 69022 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue far unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Nolice is hereby given that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />alien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tex <br />Cvtagory <br />Number <br />Tax Period Date of <br />Assessment <br />Amount of Tax ! Penalty i Interest <br />Additiore Balance bf <br />Assessment Dua <br /> 2-Oi-80 thru <br />2-3 -8 <br />04-27-81 i <br />83.58 ~ 44.95 <br />128.53 <br /> f <br /> i <br /> -~---- -- <br /> i <br /> <br /> <br /> TOTAL ' S 128.53 <br /> 1 hereby Certify foal th@ Nebraska Department Ot Ravenna has Cum plieQ with the revenue laws Of the State of Nebraska in the tleter- <br /> minaflOn at the amount ailOWn t0 b@ Q ua, 2nd the taxpayer hd5 fall@d t.~ Pdy th@ dmount tla@ after tl@mdnd. If fn15 NOLI<e o1 State Tax <br /> Lien f5 LenFlOn of an at}ec @ ii Serves t0 <Ontln Ue the prlOrity Oi tna Siate'S iniereSt in the dff84tad prppefty OT the fd%pdyer. <br />sign ~-~.~,~. fJ ~J Revenue Agent 02-23-83 <br />here ~ <br />a Signature ~ ~ Tltla Oate <br /> t- ~{ Special Agent 02-23-83 <br /> Aut rizetl Signature Titfa Dale <br /> FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REV ENUE -Whim end Gddenrtxi Copies TAXPAYER -Pink Copy <br /> <br /> <br />GOUNTV OFFICE -Canary Copy <br />A-49a-70 Rev. ~-81 <br />Supersedes 3-094-74 Rav. 5-80 <br /> <br /> <br />