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r I <br />of the Treasury Anternal Revenue Service <br />Form <br />(Rev. Feb., 1963) <br />NoM """Tax Lien Under'Internal Rev w* Laws <br />Distsio Null ber For optiorwAvAs bYA-0rdirs, ofte <br />Omaha 47 "49982 OIC 112 <br />Revenue Code, <br />t F: liven that taxes (including inters and penalties} wed rte the tollowing -named texpayar Demand for have been 000837 <br />payment of <br />ors Is a lish <br />in faArer of the tinned StatMS dri <br />tot taxpayer for the amount oft syt7lxe �tdta� <br />belonging <br />penaftles, <br />Name of Taxpayer <br />Jakubowski, Terry R. <br />Residence <br />903 So. Claussen <br />d . N E 68801 <br />aspect 40 each assessment listed bek)%v,- unless <br />=AaMEASE)INIFORMATION: With r <br />Is r~ by the data given in column (s), this notice shall, on the day following <br />VAbdoWOP*ra* as acwtifiesisof release as defined in IRC 6325 (a). <br />Tax Petted Data of LOU Day for UnpoW 8Ww4o <br />WAA of Tact Ended Identifying.liumbor AseessnoM Fleffil" of Asseswvwnt <br />(d) re) <br />M <br />9140 i12-31-81 j 47-0539904 04' -16-84 05-16-90 1$ 588'.'te)7 <br />---- - ----- ----- <br />Plil" of <br />R:?ister of Deeds 588.67 <br />Nall County Grand Island, Nebraska 688')llm $ <br />Omaha Nebraska <br />Thwatcowaspr"aredandstgnedat on this.. <br />7th February 85 <br />the - - __ __.. day of 19 <br />,go Title <br />Bro'dy_ Bennett (12.08-) Group ManA-ge,r <br />819 f CFftw auttwo.rwi by taw to falm acit,towNmonts "I n,.q s"nt'al to tfm r&&tfdyof PVC40;0 of f-CGwal T"' J_'" <br />=91;� 1 If4ft 109 71- 2, C 911 ON) <br />Orilf I T'o ht, Koq)P by P01-60!(C)lRev 2.83) <br />I <br />