Laserfiche WebLink
y~ <br />rietaavsa <br />•Rasd inftruetians on reearw aide <br />1.1en SaRlai Number L+en TYOe ~ Date Soda? Security Number 3 <br /> ~' rigirat <br />3g p Renewal i0-15-81 508 54 4668 <br />~ <br />Nmraaka I.O. Na. County Lten P11aD with Spouse's Soelai Seeurity <br />~}' <br />t ~~~~ ~~~'~ t~ [ <br />o 1 <br /> ~, Ra9ister of iSeetl. ~ <br />Number <br />1875426 Hall (~CppntY Clerk <br />E3USlNESS NRME AND LOCATION ADDRESS TA%PAYER NAME AND MAtUNG ADDRES6 <br />®usktess Name Nama <br /> Terr R. Jakubowski <br />Strsei ADdresz Street or Otner tdalling Aatlresz <br /> 90.3 SDUth C,laussen <br />C{ty State Zip Code City State Zip Cotle <br />grand Island. NE _____68801 ~ Grand Island, NE 68801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for tmpaid takes pursuant to tbe <br />tevenue Isws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, aze due from the taxpayer specified above and remain unpaid after demand. These taxes cotla64ute <br />a lien in the county far real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Cateamy <br />Numbr <br />Tax Period Data of <br />Asrp°rtatt <br />Amount of Tax <br />Penaky <br />interest <br />Additiom Bdenae pf <br />Asseseroerrt Dw <br /> <br />2i 4-1-81 thrU <br />6-3 -81 <br />7-31-81 <br />394.37 i <br />19.80 <br />8.76 <br />422.93 <br /> <br /> <br /> <br /> <br /> <br /> <br />rorAt_ ($ 422.93 <br />1 hereby csrtHy lost the Nebraska Department of Rsyenue nas complied with [ha revenue laws of the State Of Nebraska in the tlatar- <br />minatian Of the amOUni shown t0 be due, antl the taxpayer nas falietl to pay the amount due attar Demand. If this Notip Of State Tax <br />Lien Is an extension Of an a/ff~fi~a Ilan It serves to continua the pr{OrttY of the state's intarebt in tM affeetetl property Of the taxpayer. <br />/ ~~ <br />~~~ ~~ (-~/l ~ Revenue Agent 10-16-81 <br />~~~ ~ evir:r'b aiena ~T ~ ~ Tttie gate <br />I <br />- ~$„peciai Agent 10-16-81 <br />Autnoriatl Signature Title Data <br />COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OFREVENUE - WttiOe and Goldenrod Copies <br />TAXPAYER - PinK Copy <br />COUNTY OFFICE - Cenery Capy <br />4-49474 Rev. 7-el <br />Supersatlex 4-494-74 ReY. 5.8a <br />U <br />L <br /> <br /> <br />