Laserfiche WebLink
<br />12/09/2008 TUE 15:42 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />oCO <br /> <br />200810052 <br /> <br /> <br /> <br />~ <br />N.br...k.. O.",...nn>*"'l ~~ <br /> <br />REVEN;UE <br /> <br />www........*"U..."._.u~.tJI <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes Including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter aCQuired. <br />Nebraska Identification Number Federalldentiflcation Number <br /> 8246645 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> I:J fJ (;f 0'-/019 I!IRegister of Deeds DCounty Clerk XXX-XX-7073 <br />Date of Lien Lien Type County <br /> 10/27/2008 I!I Original 0 Continuation Dcorrected HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> RANDY L DETHLEFS <br />Streel Address Street or Other Mailing Address <br /> 7713 N HWY 281 <br />CIty ::state Zip Code City Slate Zip Code <br /> GRAND ISLAND NE 68801 <br />Tax <br />Category Tax Period Date of Amount of Tax penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />01 01/01/2006- 07/01/2007 300.00 60.00 42.15 402.15 <br />12/31/2006 <br />01 01/01/2007- 07/07/2008 375.00 75.00 22.68 472.68 <br />12/31/2007 <br /> TOTAL $ 874.83 <br /> <br />i' <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska m the delermmallon of the <br />amount shown to be due, and Ihe taxpayer has failed 10 pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, it serves to continue the priority of the state's interest in Ihe affected property of the taxpayer, <br /> <br />sign <br />here <br /> <br /> <br />402 '17/--$ 7f11 <br />:f; S; ~ d- T....h~ Njt <br />.Lt ) DA BA I:;) K', lJ8'" <br />~ - ~ . . <br />. 4-494-1974 Rlv. 2.2002 Supersedes 4-494-1974 Rev. 10-1995 <br /> <br />cY <br />