Laserfiche WebLink
07/21/2010 OfSD 14:53 FAX 402 471 4429 ^CC SSCRSTARX OF STATE yyw Hall X002/003 <br />~ UGL 9g~o~z9-~ ~' <br />NE S~~ of il~~^ Jphn R i~lo l1GC LCON <br />Please forwazd to: <br />Nebraska Department of Revenue <br />4500 Ave X PO Box 1500 2 010 0 5 0'"1() <br />Scottsbluff, NE 69363-1500 <br />99106~x694~1 Pgi~ 1 <br />F[ladNS07~l2R%2010 10:64 AM . <br />~Fr6tiff~slor r<'ietp~'rkn~e~c fl1! <br />F~E~E1~lE NOTICE OF STATE TAX LIEN <br />wwY~'.Y~y`wKVIM. r•1F.1G1 tr'w <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 />175D071 Register of Deeds County Clerk XXX-XX-14$3 <br />Date of Lien Lien Type County <br />10/31/2000 Original ~Gontinuation DCorrected Mall <br />BUSINESS NAME AND LOCATIgN ADDRESS TAXPAYER-NAME AND MAILING ADDRE33 <br />Bu5Ine55 Name Name <br />Larry Behrens <br />Street Address Street or er Mailing Address <br />2323 Bellwood Dr 95 <br />City a Zip Gods City ,State Zip Code <br />Grand Island NE Bf3Rn7 <br />Tax <br />Category Tax Period Data of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 1992 05/07!2000 775.00 193.75 462.53 1,451.26 <br />22 1993 05/D7/2000 865.00 216.25 478.02 1,559.27 <br />22 1994 05/07!2000 792.00 198.00 377.69 1,367.69 <br />22 1995 05/07/2000 477.26 119.32 184.52 7$1.10 <br /> i <br /> TOTAL. $ 5,159.34 ;: <br />I hereby certify that the Nebrdska Department of Revenue has complied with khe revenue laws of the State of Nebraska in the determination of the <br />amount shown to bed and the taxp r has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, it serv p Conti ue the ' ority of the state's interest in the affected property of the taxpayer. ~. <br /> ` Revenue A ent 07/09/2010 308 632-1200 <br />S~grl Pre s gna u Title Date <br />,, <br />elephone Number <br />here e Revenue Supervisor "~ 07/09/2D10 ' <br />rued ure Title~~~~~~~~ Date ,; <br /> 494-1974 Rev. 2-20D2 supersid9b 4.494.197A Rw. 1D-1995 <br /> i <br />1~ <br />i <br />