Laserfiche WebLink
06/03/2010 THU 13:40 FAX 402 471 4429 UCC SECRETARY pF STATE yyy Hall l~Op2/003 <br />NC Sec of S}a}e John R pulp <br />-UCC $CON <br />Please Return To: ss>t®azsalaa_s <br />BEHRENS LARRY PBS: z <br />Nebraska Department of Revenue Fig°d' 06~0arzete es:a9 AM <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 693fi3-1500 <br />201003840 <br />~Tti-br~~ra [aer~+4trs~nvsnn ne <br />F~E'll~`E'~E NOTICE OF STATE TAX LIEN <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 Federal Identification Number <br />40996905 <br />1750071 ©Register of Deeds County Clerk XXX-XX-1483 <br />Date of Lien Lien Type County <br />10131/2000: Original QContinuationCorrected Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRE5S <br />Business Name Name <br />Larry Behrens <br />Street Address Street or Other Mailing Address <br />2323 8eliwood Dr 95 <br />ity a e Zip Code Clty State Zip Code <br />C;ranri Iclanrt N~ aaan~ <br />Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 1992 05/07/2000 775.00 193.75 482:53 1,451.28 <br />22 1993 05/07/2000 $65.00 216.25 478.02 1,559.27 <br />22 1994 05/07/2000 792.00 198.00 377.69 1,367.69 <br />22 06/17/1905 05/07/2000 477.26 119.32 184.52 7$1.10 <br />TOTAL ~ 5,159.34 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the Stake of Nebraska in the determination of the <br />amount shown to be ,and the taxpay as failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, it seer to Conti us the p ty o the state's interest in the affected property of the taxpayer. <br />8 ~ Revenue A ent 06/01/2010 308 632-1200 <br />sign Pre a ature itle Date Telephone Number <br />herq e Revenue Su srvisar 06/01/2010 <br />Au orized Sig tune Title Date <br />494-1974 Rev. 2-2002 Supersedes 4.94-1974 Rev. 70-1995 <br />SEE ATTACHMENTS <br />