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��� . <br /> \l � e� --{ —s-1 <br /> � � c- *�: + <br /> `� � � � � � � r,i ��; <br /> "� `� �,3 -"� c.� � •.'"tU <br /> ,1 <br /> \ .> �'\ IV C;� -T� � !� <br /> a •a q� -r� .c._ }—� y <br /> ..\, � •` s.� � Pt'i � <br /> ..� �'`'�� � �,;. filJ Q � <br /> r- _� rn <br /> \ �� � r ?' W -x <br /> � ,� � � � � <br /> � � t� �� �"� y fy cv <br /> � .......� � <br /> O\ � � cr? C�1 r'" <br /> � �` e . 4� O <br /> �V � � • <br /> � � State Tax Lien Statement of Termination <br /> �Ir -�-1 <br /> ,(� or Certificate of Partial Release or L. , <br /> 1\\ nabraska I <br /> \4^ oPs enuat Subordination i, <br /> Y� PLEASE DO NOT WRITE IN THIS SPACE � <br /> Pursuant to the revenue laws of the State of Nebraska,notice is hereby I <br /> given that the State Tax Lien which has been duly filed by the Nebraska <br /> Department of Revenue against the below-named taxpayer,is terminated, � <br /> partially released,or subordinated to the extent indicated below. <br /> Nebraska Identification Number Tax Category Seaiel�6�eeeritpor Federal I.D.Number Spouse's Social Security Number � <br /> Lien Serial Number Lien Filed With Date of Lien County <br /> 4/10/313 �Register of Deeds ❑County Clerk j 0—2 9—9 4 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> K C CONCESSIONS, INC <br /> Street Address Street or Other Mailing Address <br /> PO BOX 231 <br /> City State Zip Code City State Tap Code <br /> GRAND ISLAND DI� 68802 <br /> TYPE OF ACTION <br /> �TERMINATION OF TAX UEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 4-10 8 8 4 3 <br /> TAX YEARS (corporate, individual income, and withholding tax only) 19 9 4 <br /> ❑PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br /> TAX YEARS (corporate, individual income, and withholding tax only) � <br /> ❑SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br /> � <br /> Name of party making request and responsible for filing certificate of partial release or subordination with appropriate filing officer. <br /> I hereby certiTy that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br /> termination,partial release,or subordination indicated above. f , <br /> 9 ' � �� < <3��3���c?3 <br /> si n , �� , <br /> here Pf eParer's Signatur Ue Date Telephone No. <br /> �� ,�.�,,,� �-,.,� _ �.✓✓-�� sl d y ' <br /> uthorized i a re Title ' ate <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&96 Supersedes 4-232•66 Rev.10-95 <br />