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HomeMy WebLinkAbout20081031DOCTAX ES~ PD CK~ ~ ~ - ADAMS fIOED TY, NE ~:E~:_D_!~__PD CK~ aoosio3i INST. N0. ~i~~ CHG~ ACCT~~~. FFT FEES: CASH 7L O.D. CK Daterme F~xD ~ ~.T~ N r » Le 5~;~~ P.p: ~" Qµ~°O ~ (~' REGISTER OF DEEDS LI/~Gsln 1V~ (o$50q-~(j00 NUM: ~r~i~r~o~~~.~a~~`« ~ii~ex ~n y RD COMP: Jc ~/ 3-~/~ COMPARE: vt~,~, CADAS: -- AO / RESERVED FOR REGISTEROF DEEDS RECORDING SPACE ADAMS COUNTY NE PAGE 1 OF ,2 PAGES 03,..9/~::)0~! ?'.P.S L;.~.+ F`F+X ~c)'L X771 44~y U__ w:f'CF.LI^AF.y ~ rg ---~- ~~ v '~J002i 003 ~a~~ ~~~~~'~. NC +sr, m" 5Seir.. l~,a~.n R G.:~ - L'CC }S7L i ~ ~ i ~~~ i ' ~ ~ Ir i I~ f i ~ ~ I ~ ~ 5808551770-0 Pss 1 S(1L?tMOP.~ PLACe rt,e~: 'u3fi4/20DB }©:56 R~1 I STATE TAB ~~E~ ~ ~~1I:RASK.A, llE}J.~T~'T'Il!IENT OR LABOR NF~tIL fkffice of begat CounsclT' P.U. Eos 9450p 'I l~incoin, i'1E 6sr509-dG00 X tA1tIGilVAL 'I'ei2phone - (4f~2} 472-9912 _ - _ FAX - (40Z} 47Z-4917 A/aF ~rllV~l'Ll Vl Liable: Person.: F.dara Kohl. ltl dJb,~a Ba~t:~~tsore Fl«ce .Adi~CP.B!;: lA'7_b ~ ~n~ 't~~i5tL:1~S r~5rt~rtii _ ----ND(JL St,rlai ~'o r AB r)Il4y ~fi(3R - . _ _ Tu be +iied thlth the IZeg;ster of )3eeds i,-s Else fa?loxlne Cauntves: -_}. i`rI)QL Acct i~t, i 0 C»44i~C(`7 ------ .,._ -;------_._..----------- _._.._.__--- --.- ___ __.__. __ _.----_.._ _ _____.__ i_ Auatns i ___1u'ederalIDNo.; aS6~Nn., ! 47-()803r>9° _ j Phis State Ttuc Lien is issued fix unti id eov~binod taxes (!de5. Rau, Stat, &¢+}8-657 end 48-664) or pav:neats i-t lieu efeontribctiorts (h'ed. Rer. Scat §4S-66CA1) pursuant to the Uniiocm State 7'ax iaen i<cgiskatr.: ,~` E?tibr*:~.artestt ALt {Nett. Rev. SYut. ~; 7.39Q1; el;eq. j. Notice is driver. Hurt c;orabiited tu~:es or payments in lieu cf contribution:,, into; est (eontput~ ttt (.5°.'u per mcnih}, and pL~za;.ics eu e cl::e fion:, tus emplyr. or ptrsCu sad ruuain unpaid after dert~t+i. ThcSe cotrUired taxes or payments in lieu of eon[ribur:una ~nsdiiu(e a lien for any and all p~-zsorwl p~~,rpeiiy arKl r ai properi~; uz fha ccx:nty!co;mti:,s n~[ted, be?oagirig to the employer or person, wt!eL:er now owned or here2fter a:qu:red - - :~.~_s~ - .__ __. ~_ - Qtr. ! Y'r, ~ Dat(>. ~.ssess:;d ~ ' _ ; -- Costsbiued 7'ac (7r E'a~m.ent ir1 i,ieu t?f Cdntributians l)ue - ~ Penalty Tnterest ~ 'Chr(sugls 3/512008 1 Sebtota! 2/2007 ~ 2,1~`i'2UOr ~ ..._ $55.1 r ~25.OU $5.92 $ bfi.D3 3/2D07 '/i~'2~+1t~ ___ _ $55.1! ~ _- _ ._..__ :~25.OD _. _______..____W_._.. 53.42 '; .---_..__.__.._...-- $ 83.53 4/2D07 ~ "/1ni20t'S _ ___ __ ------------ --- -- -~.r~ X55.11 f -- _ _-_.- __.... --- $25.00 _.___ ... _ _: r- ~.._. $t3 ~2 _ . -----__ ___... $ "i.03 _-._~.._..__.._-..__..._._.__ ~ i ~ 0.00 ---.---__.._______.~....._..__._.___..----.....----!.___ __....._.___ _.__.-....__..__-- ~ ~ 0.00 __---___._....._...__._...__.._,........______.----...._..__..._,.---- - .. ~ ~ $ OAO -. ...___._._.._..__.___..__.._.._..___.___ ._ ---- _ . _._ ~ ' __._V ___..__.__._..~ ' ~ i ~ i D.oo 1 ~~...__.--_....._-....~_~___"___.. ~ . - -. _.-......_.-_ __.T_~ ~_ __._.~.-__.~_..-__ __._________.. _-..~--_._._-I ~D V.~IV ...-_____...__.__'. ~....~.-_.._- I i _. _..~.__.____--t__..- --___.-.__-..~,. ~ _-.--._ .._.-.-__.__- ~ _ ~ O.OU 7'OT.AsL COmllined Tax 6t' )?8'~'R]eAt lll Lieu OF CUAItd'E~JtttianS 73ue ~UndBr tlliS ll0n Ulll3'~: ~ 29Q,59 T certify tlst~t the ]Vebra~ka Deparfrssertt ai Labor has c4rntslied ,cith the Emplt;pmacst 5eer"rity Lszty of the State ui iVehrasius in the sletea•srsistatian of the ansawls tltse, ;suti the entplo,~+er cnr peroa^ has tailed to pa}~ the amauut due alter demand. F'ERNAl'~tlb0 LECUKONA., CII Cammissioner of Labor r Date: i!vturch 14, 2008 ~- _ gy ~, ~ {~~~ ~~ US1V fI. ALSIN, Ageu~y x,egal Caunt;el - ~_ 'f:l[JOCL:ATENTSIFORA1SVrenst.Ori~ra:l.dci THOMAS !~. Ll~{~SK.I, LCg~i, COLt11se1 ' ~V. RUSSELL BAkGl;R, Legai tounsei ltl;'1'LIRlti kLL.EL OOPIES 'TI); :8ebr, Depi, of Lubor - LLG.31C' Y.o.:$ox Fdti00 S~ineoln, N~; b8509•db00 NFBz't, DEPT. OF L.~BpR s:1~RG~ AccT. #147~i ,v z ~z