Laserfiche WebLink
09/09/2009 Gfi;l] 15:12 Fax 402 471 4429 UCC SECRETARY pF STaTB ~~~ Hall <br />V~ <br />Please forwazd to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Sox 1500 <br />Scottsbluff, NE 69363-1500 <br />20090'7385 <br />^ N~ska l7epartment.of <br />REVENUE <br />www.revenue_ne.gov <br />X003/003 <br />NE Sec of S4~4e Jahn R 6ele - l1CC 5TL <br />990960fi632-6 P®s: 1 <br />PFENNING RpYMDND W <br />Filed: 09/09!2009 10;69 RM <br />NOTICE OF STATE TAX LIEN <br /> P E DO NpT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by the Nebraska l~partment 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 ac wired. <br />Nebraska Identi Lion Number ederal Identification Number <br />42930901 <br />Lien Serial Number Lien filed With Soaal Security umber pewee's Social 5ecunty Number <br />0$2840092 ®Register of Deeds County Clerk XXX-XX-4417 XXX-XX-6284 <br />ate Lien Iren Type County <br />09/03/2009 ®Origlr-al Continuation ~Correrrted HALL <br />BUSINESS NAME AND LOCA TION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> RAYMOND W & DEBERA J PEENNING <br /> 4170 E SEEDLING MILE RD <br /> GRAND ISLAND NE 68$01-8472 <br />ax <br />Category Tax Period Data of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 2007 O6/2Al2008 384.62 19.23 34.88 438.73 <br /> <br /> <br /> <br /> <br /> TOTAL $ 438,73 <br />I hereby cerUt y that the N~as ka Department of avenue has oomali lo ot a revenue law s the State o Nebraska in the d etermination of e <br />amount shown to be d the taxpayer <br />effective lien, it serves contlnue a prio~ <br />^ a. ~ <br />sign s lure <br />here ^ <br />Aut ed Signature <br />failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />f the take's interest in the affected property of the taxpayer. <br />Revenue Agent 09/03/2009 (30832-1206 <br />! i e Date a Number <br />/ - - . K.1Jt r ~_ 09/03/2009 <br />Title Date <br />4•ID41874 Rev. 2.2002 Supersedes 4-49~1.19T4 Rev.1t}7995 <br /> <br />