Laserfiche WebLink
nehraska <br />srtment <br />..f ...r. <br />Notice of State Tax Lien <br />•Raad instructions on reverse side <br />LIM Serlal Number Lren Type Date 56<faf Security Number <br />___ <br /> OI19inal <br />4/04/993 ^ Renewal 4-17-84 ( <br />~ <br />~ <br /> <br />Nebraska I.D. No. <br />County <br />Lien Flletl Witn <br />Spouse's Social Security <br />Number j <br />~ <br />( <br />j ~ta~ <br />~ • ~4 '+T~. <br />~A~"!~> <br />4267567 Ha11 Reefster of Deetls <br />®county clerk <br />BI/SIN <br />Business Name <br />Dos Banditos <br />LAME AND LOCATION ADDRESS <br />sheet Address <br />609 South Locust <br />Cky State <br />Grand Island, NE <br />me <br />Dos Lien Inc. <br />street or Otnar Marling A4tlreas <br />P.O. Box 281 <br />zip code city sae <br />68801 Grand Island, N€ <br />rp 664. , :'"~.. <br />fi8801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid ta%ea purtaune.to the <br />revenue Taws of the state of Nebraska. Notice is hereby ®ven that Axes including penalties aod'interest; wliiclt are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand: Tltesrtaxeacomlitute <br />a lien in the county far real and personal property belonging to the taxpayer a hereafter acquired; <br />Tea <br />Cgpory <br />Ntsrn6M <br />Tax Period <br />AOtsasnnot <br />Amount of Tax <br />Penalty <br />Interest <br />Addieions.-- <br />Awwnat Duo.. <br /> <br />O1 OI-Ol-84 thru <br />01-31-84 <br />3-21-84 <br />1067.50 <br />33.02 <br />21.29 <br />1121.81 <br /> <br />21 X 10-01-84 thru <br />12-31-84 <br />3-13-84 <br />591.96 <br />i 54.20 I <br />17.48 <br />668.64 <br /> <br /> ~ ~ <br /> - }- - <br />I i <br /> I <br />roTr+l. ~ S 1790.45 <br />1 hHeby certify [hat the Nebraska Department ui Revenue nos complied with the revenue uws Of the5tia Of NW[itka in-tlN;dear~ <br />minatiOp Uf the ampunt SllOwn to be due, dnd the td><payer has falletl tp pay the dmppnl tlpe if[ef demind: if thif NOLIaa Of.-$tab Ta>< <br />Uen !s do extension Of a~efffect~lVe Ilen tt serves [o continue the priority of Ina sat0'S into/est in the affected pfppNty-o1 the---laltaayer. <br />~~ ~~ t-~'-`r Retreruie Agent- 4-llt-8~ <br />~'~ ~ Prepay a TNla Pat - <br />~- _ ...~~~ _ Special Agent 4 1.-8-84 <br />NEBRASKA DEPARTMENT OF REV ENUE -White and Goldenrod Copies TAXPAYER -Pink Copy <br /> <br />COUNTY OFFICE -Canary Gopy <br />4-49174 Rev. 7-BI <br />Supersedes 4-094-74 Rev. 580 <br />U <br /> <br />~. <br />