Laserfiche WebLink
f" <br />Notice of State Tax Lien ~__ <br />ttabraska ®ischarge, Release, or Subordination <br />department <br />revenue • Road irstrtutiom on rovarse side <br />Uen Serial Number Release, Serial Number Date of Lien Social Securlty Number U ~ 3 74 0 <br />/03/130 1887 03/01/79 506-54-4668 79- <br />ebraska 1.D. Number County Uen Filetl Witn Spouse's Soctal Securlty <br />- ® Register of Deetls Number <br />21-1875426 Hall county Clerk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Terry R. Jakubowski Terry R. Jakubaaski <br />Siraet Addreu ~ Street or Dtner Mailing Address <br />903 South Clausen -903 South Clausen <br />City State Zip Code City State Zip Code <br />c~and Island NE 68801 Grand Island t~ 68801 <br />Pttrsuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of Slate Tax Lien <br />which has been duly fded against the above named ta_payer, is discharged, pe;.ially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />® DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />^ PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />C SUBt?RDINATED. The Notice of State Ta_x Lien is subordinated as follows. <br />t hereby [artily that the Nebraska Detsartment of Revenue has Complletl with the revenue laws of Me State of Nebraska in the deter <br />`~~ urination of to narye, partial 'l/tee/a~s~e~(r su tlnwti 'nairatetl above.t{///} I; <br />!l~(t~ lAUt~ to - , Tit, ~4 ~f~f/~ ~i~/ Date ~ /~ <br />NE$RASKA DEPARTMENT OF REVENUE -White and Canary Cops TAXPAYER -Pink Cppy COUNTY OFFICE -Goldenrod Copy <br />4-232b6 Rev. 5-78 <br />Supersedes a-232-68 Rev. 5-la <br />U <br />L J <br /> <br />