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(Notice of State 1'ax Lien nebraska ~Iaartment of revenue •Read instructions on reverts side Lien Serial Numbs, Lien-Type Date Soclai Security Number - i~ Ori9lnal ~~a~. OJ02/187 ^ Renay,dl 2/12/80 508-54-4668 $~%'-' e2®~ Nabratkd I.D. No, COUnty (L.~-i~+e+((n Piled Wi(n SpouSa'z $OCldl $eCUllty jay Reyiatar pt DeedS~NUmbar 7875426 I Hal 7 i cp~nty dark i BUSINESS NAME AND LOCATION ADDRESS _ _ TAXPAYER NAME AND MALLING ADDRESS nusfness Name INama Terry ~, Jakui~owski Tgrrv q ,lakt6awski street Addrrss Isvrat or ctner n+ail~nG aaeress 903 South Clausser +f 9~)3 South ri 2C~Pr, C:ty SId:e , p Cede Ci:y State ZiR Code brand island, Ve 6880, ,rand Island~_N~.r;4801 _ Putsaant to the revenue laws of the State of Nebraska, notice is hereby peen that tuxes (inciuding penalties, interest and additiansi have been asse_csed snd are due from the above taxgsyer and remain unpaid after demand. These taxes constitu[e a lien upon groprrty belonpag to the taxgaver, or hereafter acquired by the taxpayer, and Itnated in the above county- Liens for sales and use taxes only attach to the resI pmpem• belonging to the taxpayer. or hereafter acquired b}~ t_he taxpayer, and located in the above count. Tax Dste of Number lax Par:ad ~ Assesanent I Amourt of Tax Penatty Interest Atlditions I Salancs of Asssssmsnt Due 7-7-?9 thru i ~ 21 ?-30-79 ~7C/3U'9i 542,6 ~ '2 t~ ~ 7~ 41 ~ ,47,E 7~-7-79 thru ~ '7 72-s^7-?9 l;'37r`°^• 95.33 -- i I - .1: 100 55 i --- I I -: , ---- - . __ TOT :L - ~ ?t; t; 7 ,, n rrby ,;rt;iy tndt a n'dt t, ~1 :1',t ama _ Nrn;si,a 1e-Ja:t ,ems _ -_ _ ' .Near a> ~- ~- • ' w: u n rxxrnuon b e, se .~. ,, e . ~ ~ r a, ~ ~ ~ ~-- Pt.wrer's s, nor _ _ Revenue ~!oent: .___-_______ - ~ ,_ ^!7 •'I~!t _ ~~ - .. , 1 Gate _ - _ l~ 1atP FflR COUNTY OFF#C{AL'S USE --~-----"~~---- tVE$rZASKA 7EPARTNEN'i OF RE -ti cA iz - ev-. _ ~~r-.s . _..., c.,. `n~~Y-_n _ ,. _A .oa, - . -_-____ ~ 1 _' =?=r'"_ ,._ • J`' __„ 1-o a~ ' - L~ G...-.