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<br />~i®tc~ of Stat+~'Ta~c Lira <br />~~a <br />etcyartment •Rmd inmructiom on..raverso side' <br />of revenue <br /> <br />Ltan'Sartat lYUmDp than Type. Date". SoctaF Security Number' <br /> Orlglnat <br />^ Reneyal - <br />4-19-82 <br />508 54 4668 g- <br />~j ~ --1- ~ ~ ~ <br />NO. <br />i:O. <br />NeDraSW County en Ftled With <br />L..i SDOUSa's..SOCIdISacurlty <br /> rt <br />t~i Ra9irter W Deatls Number <br />e <br />7 <br />187526 ~al l ~.000nty CI¢rk <br />BUStTtESS NAME AND. COCATtON ADDRESS TAXPAYER NAME ANDlNAILING ADDRESS <br />Busing% Name'. Name <br />Terr R. Jakubowski _,_ <br />StreatAdtlfsss street or OtheY Matting Adtlress <br />903 South Clausen ~ 1 en _ <br />City 54ate Zip.Cotle City State Zip Code <br />brand Island, NE _ 68801._______ __urand Island NE 6$801 <br />T1tis Notice of State Tax Lien is imved by the Nebraska. I?epartment of Revenue for unpaid taxes pursuant to the. <br />revenue.Iaws of the state of Nebraska. Notice is hereby given that taxes including penatties and interest, which are <br />sbowa below, are due from the taxpayer specified shave and remain unpaid after demand. Theee taxes constiittte <br />a lien in the county for real attd personsf property belonging to the taxpayer or hereafter acgteired. <br />Tax Data pf <br />Cstapry Tax Pat%ad Asassarrtant ' i t <br />Amourrt of Tax Penalty i Interert Additions Batanca of <br />AssessmantDUa' <br />NtamWr <br />7-1-$1 thru € <br />i _ t 5.03. i 82.12 <br />(10-1-81 thru I <br />! <br />- 1- 1 (i-30-82 73.62 3.58 ~ 2.20 79.50 <br />l { i 1 <br /> ' ! + I <br />i <br />--~ ( I --~----- <br />M <br />+ ~ ( i <br /> <br />~ <br />TOTAL ~ <br />it 5 161.62 <br />nsrsW cartity coat RM taaOTiska Dapartm Mt of Ravsn ua nos cOMDlketl with Ine revenue la WS of th• State o} NYDYaska rn tna get¢Y- <br />nBlnationortnalmoYnf snoarri tp Os ow. ono 1iW taxpayer nos tattoo to pay the amount due alter tletnantl. 11 tins NOtlra Ut State lax <br />ttsn lS an axtMBOn oP an aHac in K sarres tc+ continua Yha priority of the state's In lorast in the altactetl Oroperty OS the uxpayer. <br />.% <br />~~ - ~-,,t ,. ~' ____._ RPVPnue Agent 4-19-$2 <br />~~~ sy~ Tptia Date <br />,K„_ ,~ SpQcial nt 4-19-82 <br />~AUtROrixp Stitt - Tuna u Dale <br />--~-~~ -^ fOA COUNTY OI=F ICfAL'S IlSE 1 <br />NEBRASKA pEQARTMENT OF.RE4ENUE - WAita and.Goldanrod Copies TAXPAYER -link Copy COUNTV OFFICE -Canary Copy <br />4-49472 Rev. 7.81 <br />- S.uperseda5 a.ag4-7a Rev.. 5-80 <br />t~ <br />