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- ~ <br />Notice of State Tax Lien <br />nebraska Discharge, Release, or Sulaordination <br />~~ wra~o t ~ peed irsstructiens nn reverse a:da <br />uen Serial Number Release Serial Number Date or LIBin ", ~ Social Severity Number <br />S ~~$S <br /> 7 <br />8/11/794 1492 11/30/78 ~ 508-54-4668 <br />Nebraska l.D. Number County Lion Fiietl Wnh ~ Spouza'z Soctal Security <br /> Register of Deeds Number <br />21-1875426 Hall <br /> Ocouniveierk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME ANO MAILING ADDRESS ^~ <br />business Nama Name <br />Terry R. Ja)<ubowski ~ Terry R. Jakubowski <br />Street Address SVeet or Other Malting Atltlress <br />_ 903 South Claussen 903 South Clauss~n <br />City Slate '-ip Code Clty State Zip Cotle <br />Grand Island, NE 68801 ~ Grand Island, NE 68801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />wh;rh has been duly filed against the above named taxpayer, is discharged, partially released, or subordinated to the <br />exaentiadicated below. <br />r---~ TYPE OF ACTIUN <br />® DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />t=.t PARTIAL RELEASE, The Notice of Stu,c Tax L•Ic:t is ele..,ed a; f;:l!e..,. <br />^ SUBORDINATED, The Notice of State Tax Lien is stbordinated as follows. <br />1 hereby <dtify that the Nebraska Depafthtant~P1'. Revenue nos cpmpiietl with the revenue laws of the State of Nebruka in the deter- <br />~!a~ minetidn et Eh:~tzeturga, part 1 rel a or iy4e9rQlnak ipn Indluted obey ~_) / j <br />~_>~ ~~ Autf+pflZ8f7-- i9ha ! _~- - ~ ~~ _~_.•" T'Itta_ - - __ _ -__- - _- _. _-__ Datd - ~ i -_ <br />- - - GAO rt11 lalTV f1CG1(Nal •C In!C <br />NE@FtAS14A OEPART~tE~T i}F Pt=ti!~~!U€ -~ SsT.:ta ~n~ ~,;; C ±tsx-s T_~xFStYE€~ -Pink ~P.; C~]~E:JT7 OFFICE ~ C ~~. <br />i-~3=-yP F1w, 9-T# <br />tiupee MaflM 4.7.3#~ei Rev. 5-76 <br />i.... <br />