Laserfiche WebLink
<br />r <br /> <br />Ir;fneb.,a.ka <br />departr11ent <br />of revenue <br />Lien S.rlal Number <br /> <br />Notice of State Tax Lien <br /> <br />3 09 024 <br /> <br />Lien Type <br />iZI Original <br />o Renewal <br />County <br /> <br />Date <br /> <br />-Read instructions on reverse side <br />Social Security Number <br /> <br />r <br /> <br /> <br />83-605107 <br /> <br />Nebnska 1.0. Nt). <br /> <br />Lien Filed With Spouse's Socl<lil security <br />l] Register Of Deed Number <br />387 148 Hall [jj County CI." <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />BuslneS:$ Name <br /> <br />Name <br /> <br />Mr. Lucky's <br /> <br />J1r---Lucky I S <br />Street or Other Mailing Address <br /> <br />S'~08t Address <br /> <br />3311 West Stolley Park Road <br />City State <br /> <br />Zip Code <br /> <br />3311 West Stolley Park Road <br />City State <br /> <br />Zi.p Code <br /> <br />Grand Island. <br /> <br />NE <br /> <br />68801 <br /> <br />Gran <br /> <br /> <br />NE <br /> <br />fiRROl <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. NOlice is hereby given Ihal taxes including penalties aud interest, which are <br />shown below, are due from Ihe taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging 10 Ihe taxpayer or hereafter acquired. <br /> <br />Ta. Oateot Balance of <br />Ca'_ry Tax Period Amount of Tax Interest Additions <br />Number Assessment Assessment Due <br /> 07-01-83 thru <br />01 07-31-83 8-31-83 106 31 It <br /> <br /> <br />---jl <br />: i ! ' <br />I !. i _ i <br />! I I <br />I I i I <br />______-L-__.__"______L_.~~_L_ <br /> <br />I <br /> <br />I <br />I <br />I I <br />I <br />TOTAL I $ <br />_~"_____.~____________~___1 <br /> <br />117 45 <br /> <br />I heft~by certify that the Nebraska Department of r~i'l'\ll3.nl.le has coft\plie-a wllh tll-& f$venuoe laws- of the State of Nebraska in the deter. <br />mln4tlon of tho .:smQunt ~hown to be thle, and toe t4l;1Ipayef h<t.f; tailed to pay lntl amount dUll after dtUndnd, If this Notice of Stat~ T.:!x <br />Liftn 15 an ext&t15lon of an efflKti"'<li Hen It ~tHVU'.i lu COnlIOU/l.' ttw prtority of the ..tale's lntlrt~st In thlt affected property of the taxpayer. <br /> <br />sign. ~""...",. ~k___~_______Jle.I!enue Agent______ <br />here ""P.,.,..;:t~. " ~~- .;, --,-' , "~~e i a 1 Aoent <br /> <br />~ Authotiz.o SI9~f_. --,_.-.-~-_.~ -T';t~ . - <br />-~ ~-~-"------'~'--"----~---~-'~--"~-~'---'-- <br />FOR COUNTY OfFICIAL'S use: <br />- -_.._-.......--~._--------_._~-_.,--_._----- -,-~._._-~-._--_._----" <br /> <br />9-27-83 <br />O~te <br /> <br />_. 9-22-83 <br />Date <br /> <br />--- ---------,:] <br /> <br />NEBRASKA OEPAATMENT OF REVENUE - White and Goldenrod COPllts <br /> <br />T AXPA YER -" Pink Copy <br /> <br />COUNTY OFFtCE Canary Copy <br /> <br />4-494-74 Rev. 7-8.1 <br />Sup~fseae"$ 4.490\_74 Re..... 5-60 <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />.-J <br /> <br />L <br />