Laserfiche WebLink
<br />01/21/2009 WED 15:20 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />14J003/005 <br /> <br />00 <br /> <br />NE S.e Dr Sb.. John II Golo - UC:C: SC:DN <br /> <br /> <br />200900376 <br /> <br />9909584262-4 Pgs: 1 <br />SUGGS ROBERT N <br />Filed: 01/21/200902:17 PM <br /> <br />:. <br /> <br /> <br />~: <br />REVENiUE <br /> <br />"...Vi...... .iI'_Oil'lUil!. 'j)ilIl_'yOlu' <br /> <br />~ STATE TAX LIEN <br />lJ 'jqq ~ 1$;;tS'J <br />c:; QQ-IID2t12. <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />; . <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal pro'perty belonging to the taxpayer <br />or hereafter ac uired. <br />Nebraska Identification Number Federalldentificalion Number <br /> <br />41685172 <br /> <br />992390060 <br /> <br />Social Security Number <br />DCounty Clerk XXX-XX-5553 <br /> <br />Spouse's Social Security Number <br />XXX-XX-5393 <br /> <br />Lien Serial Number <br /> <br />Lien Filed With <br />[2g Register of Deeds <br />Lien Type <br />08/27/1999 , DOriginal f&lContinuation <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br />County <br />o Corrected HALL <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Date of Lien <br /> <br />Business Name <br /> <br />Name <br /> <br />Street Address <br /> <br />ROBERT N & SARA J SUGGS <br />Street or Other Mailing Address <br />2512 CHANTICLEER 20 <br /> <br />GRAND ISLAND <br /> <br />State <br />NE <br /> <br />Zip Code <br />68801 <br /> <br />City <br /> <br />ae <br /> <br />Zip Code <br /> <br />City <br /> <br />Tax <br />Category <br />Number <br /> <br />Tax Period <br /> <br />Date of <br />Assessment <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Interest <br /> <br />Additions <br /> <br />Balance of <br />Assessment Due <br /> <br />22 <br /> <br />1998 <br /> <br />06/09/1999 <br /> <br />349.08 <br /> <br />17 .45 <br /> <br />11.53 <br /> <br />378.06 <br /> <br />TOTAL <br /> <br />-$ <br /> <br />378.06 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of Slate Tax Lien is a(1 extension of an <br />effective lien, it serve to continue the priority of the state's interest in the affected property of the taxpayer. <br />. <br /> <br />sign <br />here <br /> <br /> <br />EVENUE AGENT <br />ille <br /> <br />01/15/2009 <br />Date <br /> <br />402 471-5928 <br /> <br />Telephone Number <br /> <br />REVENUE AGENT SUPERVISOR <br />Tille <br /> <br />01/15/2009 <br />Date <br />4-494.1974 Rev. 2-200~ Supersedes 4-494-1974 Rev. 10-1995 <br /> <br />~ <br />