201007222 - Laserfiche WebLink

Browse

//x/1(0/01/2010 FRI 15:29 FAX 402 471 4429 trCC SECRETARX pF STATE ~y~ tia11 V 2oioo~2~~ Nebraska Department of REVENUE vuvvw. re ve n u e. n a. g nv X002/002 NE She o/ Si~ip Jahn p asr• - Ut 9910639®gl-g DVOggK pUS7Y F'9a: Filed: 10/01/2010 11:20 AM NOTICE OF STATE TAX LIEN S@ DO NQT W TE IN 7HI5 5 ACE This Notice of State lax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant. to the revenue laws of the state of Nebraska, Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter ac uired. Nebraska I en hon Number F oral Identification Number 36381314 Lien Serial Number Lien Fil th Social Security umtxx Spouse's Social Security Num er 11045657 ®Register of Deeds County Clerk XXX»XX-1093 Date of Lien Lien ype County 08/28/2010 ®priginal ~Continuetion Corrected HALL BUSINESS NAME AND LOCA7 1pN ADDRESS TAXPAYER NAME AND MAILING ADDRESS DUSTY DVORAK PO 90X 341 GRAND ISLAND NE 68802-2753 Tax Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Amaesament Assessment Due 22 200'7 04/03/2010 287.00 14.35 41.36 342.71 TOTAL $ 342.71 I hereby certify that a Ne ras ka Department of Revenue has complied with the revenue laws of the State of Ne raska in the determination at the amount shown to be due. and t he laxoaver has f ailed to oav the amount due after demand. If this Notice of State Tax Linn is an extt+nsinn of an effective lien, it serves to Conti a th priori t s te's interest in the affected property of the taxpayer. Revenue agent 9 -Za ~ 6 (308)632-1203 SIgt1 Pr er gn Title Date ~ Telephonft ymber here ^ Revenue Supervisor , ,.~» G~~D z store Title Da ~-IY61BT~ Rev. 2.2tl02 SupefBedee 449M197~ Rev. 10.1885 ,~