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<br />r <br /> <br />~. <br /> <br />Notice of State Tax Lien <br /> <br />u;n-W-laI_NuMbtf <br /> <br />u.n-TYH <br />iJ Qtl9ln.t <br />0"-" <br />County <br /> <br />Data <br /> <br />-find iNtlUctiona on ,..,...... <br />SOC:I~ S*Cudty NumtMt <br /> <br /> <br />[ <br /> <br />3 0 188 <br />~ 1.O~ No~ <br /> <br /> <br />18754 6 <br /> <br />Str-iIitt Add"_ <br />903 South Claussen <br />CItY Stat<< <br />Grand Island, NE <br /> <br />Name <br /> <br />I Terry R. Jakubowski <br />5t,."t -or Ott;er Malling AddTUI <br /> <br />903 South CLaussen <br />City State <br /> <br />I Grand Island, NE <br /> <br />ZIp _Code <br /> <br />Zip Cod. <br /> <br />68801 <br /> <br />68801 <br /> <br />Tlll&Notiee of Stale To Lien is issued by the Nebraska IMparlment of Revenue for unpaid tax.. pursuant to the <br />tnl!_ IaWl of the stale of Nebruka. Notke is hereby gi",n that U1Xes inciudingpeaalOes and interest, which are <br />shOW1l below, ""' due from the taxpayer specified above and remain unpaid after demand, Theoe taxes CODSUtute <br />a liea itt the county (or rmI"nd peroonal property bdoqinc to the taxpayer or hereafler acquired, <br /> <br />54.59 <br /> <br />2a96 4~42 <br /> <br /> <br />aalance of <br />AsIeamInt Dve <br /> <br />h:~ I Tu_ I~. <br />110-01-82 thru I <br />21 112-31-82 12-3-83 <br />1 ; <br /> <br />Amotm-t of Tax <br /> <br />~ fnt.,..-.t <br /> <br />61. 97 <br /> <br />+-----------+- <br /> <br />; - , <br />----f.--~,.--.--_-~__~_~~ <br /> <br />~-~--.-o,~~..--.,-~-'---.~ .- t.. <br /> <br />-----t--. "-~------T'--<---- <br /> <br />____,~-----i.,..~_________4.______O_.,__ <br /> <br />TOTAL <br /> <br />$ 61.97 <br /> <br />I n.._... -c_uty tl\.o\( tn. ~ftio(.. ~tt",-Gt\f t>t W""fHJ. :'0 ..'-,"n~Oi;;i ""'it:'; ~.... ;~~ ~::.~~! ~!',~ ~t~!-'!- ')f Nah'~..a in th. dat6'" <br />mlNlkm Qf t"M- ~4lRl; ~Qwn t~ e... l.f....~ M!.d !!\'i6 t".li.p.il-:f~ hat U-,Iel1 t'!.'l ~y tl'\. ..~o~rl1 l;tu. .f\..- olf~rH;L If tM~ N,")(!~ of Stile T4~ <br />U~ ft ~ .li~ of HI ."H."Uw t~n it ~'W'M h) .::ut'ttu\ue t~fj "jH't-OHlV ot n~e tloilt.'J. jntefM~ in tn. .1t.ctad prOPti"tv qt the t.....p.ayer. <br /> <br />sip ~ bf~ <br /> <br />he-. · ..--..~ ~, , <br />.. '.., r <br />. ""......,_.~. , ',,~ (,-~-- <br /> <br />Revenue Agent <br /> <br />8-31-83 <br />D.o', <br /> <br />TiH. <br /> <br />Special Agent <br /> <br />8-31-83 <br />". O,d_ <br /> <br />Tit!. <br /> <br />l <br /> <br />FOR COO"TY OFFiCiAL '$ USE <br /> <br />_ItA OltPARTMIIHT OF R~Vt;N\)e - _.._ G<>l_od C_ <br /> <br />T AJ(PA VER .- P-ink C01)V <br /> <br />COUNTY OFFICE -" CeMty Copy <br />4.4.-94-14 Rev. 7-81 <br />SUoe1-.edelo 4.494--." R.y. 5-80 <br /> <br />u <br /> <br />...... <br /> <br />L <br /> <br />...J <br /> <br />L <br />