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t <br />-_ f <br />Wo#i~e of Ste#e Tax Lean <br />ratbrasita ~~~charge, Release, +ar Subordina#lorl <br />~d~Rta>~meYt • Road iratrtsztiavn on revbra9 side <br />I.len SM•ial Nurrab;er I Rb ealeaf sb Sbrlat Numtrer Date of t.ibn Sccial Security Numtser <br />1/l0/U3Q 4778 10-15-87 (5Q8 54 4668_ ~2~t~~~~~ <br />NeDrnaka Y,D.NUmber County Uen Flied With Spouse's Sociat Secuvlty <br /> ~j Register of Deeds Number <br />18.75426. Hall cpunty Cierk <br />BUSINESSNAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING AOORESS <br />Business Name <br />Terry R. Jakubowski Name <br />Terr R. Jakubowski _ <br />Street Atltlrosx Street or Other Mailing Andress <br />903 South Claussen l 9Q3 South Claussen <br />City State I.ip Code ~ Gty State Zip Cotle <br />Grand Island, NE 68801 i Grand Island, NE 68801 <br />" Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <ven that the Natice of State Tax Lien <br />- which has been duly filed against the above named taxpayer, is dischazged, pa+Kially released, or subordinated to the <br />extent indicated below. <br />- TYPE OF ACTION <br />tY7 DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />^ PARTIAL RELEASE. The Natice of State Tax Lien is released as tollows. <br />^ SU80RDDNATED. The Nocice of State Tax Lien is subordinated as follows. <br />i Hereby CerAliy tnat tno Nebraska Depavtment of Revenue Has tdmpiied with me raven ue laws of the S:ate of Nebraska in the deter- <br />mindtipn Ot th isCnd[ge, release or SUbprdina [IOn lndi Gated abiW e. <br />~gQ , `~ r _ _~€1tEnLl? ~9ent ?-22_ R? <br />here Prepare- sl ~re T,t,e Date <br />5pacia7 Anent __ 2-22-82 <br />_ Auihnri;ed:Sign ~. a Title Date <br />PtE$RASKA:OEPARTMEN7 OF REVENUE -White and Canary Copies TAXPAYER - Pin& Copy COUNTY OF FiCE - Goidenrod Copy <br />4"3.32-G& Rev. 1-9:: <br />Su pcrsedcs 4.232-65 Rnv. 5-7b <br />J <br />6..-w. <br />