Laserfiche WebLink
<br />11/19/2008 WED 15: 38 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/004 <br /> <br />\)Ib <br /> <br />200809581 <br /> <br />IIrlllll11lr 11'1 <br /> <br />9908576595-7 PSIS: 1 <br />CHOP SHOP CUSTOMS INC, <br />Filed, 11/19/2B08 01:26 PM <br /> <br />STATE TAX LIEN. NEBRASKA DEPARTMENT OF LABOR <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln. NE 68509-4600 <br />Telephone - (402) 471-9911 <br />FAX - (402) 471-9917 <br /> <br />I.. <br /> <br />~ ORIGINAL <br /> <br />Employer or <br />___.__.__ Lia.l!!~ P~Eson: ---f.~2P_"SJ!2.e..Cus!2.!DS _Ins._.__..__~___.____._____.__._ <br />. Address: 1106 W. Oklahoma St. Grand Island NE 68801 <br />_ NDOL Serial ~,20~]0 ~th.!!u> ~isler o(Deeds ~UOwi.g Connti.",-- <br />.~___ NDOL A~~~~~_l_Q.30~3300J_______ _B!~_." _ ._____________._..__ _~___ <br />Federal m No.1 SSA No.: . 90-0169569 <br /> <br />This Slate Tax Uen is issued for unpaid combined taxes (Neb. Re'll, Sill/. fi~48-6S7 and 48-664) or payments in lieu of conlributions (Neb, Re'll. Stilt, A48-660,0 1) pursuant to the <br />Unifonn State Tax Uen Registration & Enforcement Act (Neb, Rey. Sial. ~77-390 I, el seq.), Notice is given that combined taxes or payments in lieu of contributions, interest <br />(computed at 1.5% per month), and penalties are due from this employer or person and remain unpaid after demand. These combined taxes or payments in lieu of contJibutions <br />cOlllititute a lien for any and aU personal property and real property in the clJunty/counties named, belonging to the employer or person, whether now owned or hereafter acquired. <br /> <br /> I Combined Tax Or Payment In Lieu I Interest <br />Qtr.1 Yr. Date Assessed I Penalty Through Subtotal <br /> Of Contributions Due 11/1112008 <br />1/2006 I 10/27/2008 $483.89 $0.00 I $220.90 $ 704.79 <br />I <br />-----212oii6"--1---"i. 0127/2008 --- --_._---_.~-----_.~._-----_._- .------ I $22.$ ~~ <br /> $54.08 $25.00 <br />~..............._~---~~-+. 1- _._=~==~~=-==~~._- <br /> I ---- <br />--------r---~-.--. I I <br />~---~.__._-,~~~ ...~~~ ---~-~~--~~-~~-------..............----- ~----- ---l_._____'"..__.____~__ <br /> <br />-----+---r -----=: -l -+-+~:: <br />--------=1=-.--- --- ---t----"-----------.---~----l ~.------$--O'oo - <br />-- - E ~- <br />, $ 0.00 <br />--- - t-.-.--------- - -----. ------.. ---..---.. <br /> <br />---r--+--- . . +-~: <br /> <br />~ 0.00- <br />~ i - ~ <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (UDder this lien only): I $ 806.11 <br />I <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />FERNANDO LECUONA, III <br />~.er of Labor _ II <br /> <br />Date: November 19, 2008 By: ../ I &- C f-- ~ <br />~ H. ALBJN. Agency Legal Counsel <br />T:\DOCUMENTS\FORMS\LiCllli\Original.doc THOMAS A. UKINSKI, Legal Counsel <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br /> <br />P.O. Box 94600 <br />LIncoln, NE 68509-4600 <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGEACcr.#14~ <br />