Laserfiche WebLink
05/20/2011 FR= 14:52 FAX 402 471 4429 UCC SECRETARX OF STATE -+-�� 8a11 <br />�� <br />20110383� <br />�j0o2/ooa <br />�..o .u.� <br />�� �— <br />i�ti.�raska �e�,paeirr-�rt� ar� <br />Rt'�E���E <br />►vwwt.. a.erarrti.u�r. roe. oasv <br />NQTICE OF STATE TAX LtEN <br />This Notice af State Tax Lien is issued by the Neb�aska Department of <br />Fievenue 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 acauired. <br />10145362 <br />Category <br />Number <br />01 <br />09 <br />21 <br />21 <br />11155597 ORegister of Deeds �Cormry <br />Lien Type <br />04(04/2011 QOriginal �Continuation [�Corrected Hall <br />BUSINESS PIAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRES: <br />B <br />Simon R. Jensen <br />t or Other Mailing Address <br />2720 St. Patrick Ave. Apt. #1 <br />State <br />Grand Island Ne. <br />Penatty Interest AddiUons <br />Tax Perlod Date of <br />Assessmerrt <br />07/D1/2010 ����2�11 <br />10/39/2010 <br />D5/01/2010 09/07/2010 <br />06130/2a90 <br />Q7/01/2Q1Q �/�4/2011 <br />1?131/2010 <br />0 I 09/27/2010 <br />Amount of'fax <br />4,200.00 <br />O.OQ <br />125,00 <br />4.00 <br />XXX-XX-3719 <br />$40.00 105.04 <br />209.06 13.93 <br />62.50 2.34 <br />0.26 0.02 <br />68803 <br />Balanae of <br />sessment Due <br />5,145.04 <br />222.99 <br />189.&4 <br />028 ! <br />TOTAL � $ 5,558.15 <br />���o���r �� u�r �„�. U�tl ,�nura�sa vepanmen� or rcevenue nas cempl�ea wttn the revenue laws of the 5tate of Nebrdska in the determination of the <br />amount sh�wn to be due, and the ta�ayer has failed to pay the amount due after damand. If this Notice ofi State Tax Lien fs en extension of an i <br />effective Gen, it se to continue the prlo ' F the state�'s interesf in the affected property of the ta�rayer. �'• <br />8 Revenue Agent S� fG ao// 402 471-6067 i <br />sign P p rer's 5igna ure T e Date 7elephane umber i <br />here 8 Senior Reve�ue Agent S g—/ / ? <br />� <br />uthorize Signature Title Oate <br />4�454-1974 ReK 2-2D02 Supelsedes 4■1941974 Retr.10-1895 <br />`V .. <br />