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O1/17/2012 TUE 14:37 FAX 402 471 4429 UCC SECRETARY OF STATS -�-�-� Hall <br />� ' <br />2Q1200455 <br />�Iooz�ooa <br />- lKC T08 <br />P9s: 1 <br />3 W'1 <br />���� �,�� � State Tax Lien Statement of Termination or <br />� �..'•�, Certificate of Partial Release or <br />����� Subordination � <br />Pursuant to the revenue laws of the Stato of Nebraska, notice is hereby <br />given that the State Tau Lien whfch has been duly �iled by the Nebraska <br />Department of Revenue against the below-named taxpayer, ts <br />terminated, partialiy released� or subor�iinated to the extent indicated <br />below. � <br />8537054 <br />47-0836131 <br />XXX-XX-4939 <br />12/18/2010 � � 01 <br />Hall <br />9115'I 363 I�X Register oi Daeds � County <br />BUSINESS NAME AND LOCATION ADDRESS <br />Address <br />ci�r <br />TAXPAYER NAME AND AAAILING ADDRESS <br />Douglas Avila <br />treet or Mailing Address <br />603 W. 4th St. <br />� Grand Island • Ne. <br />Typ@ of AeBon <br />68801 <br />Q TERMINATION OF TAX LIEN. The State Tax Lisn is hereby fuliy termi�ated. UCC Instrument Number 99116497D8-3 <br />County Instrument Number 201100789 <br />TAX PERIODS $I_ a I(,D <br />� PARTIAL RELEASE. The State Tax Lien is partialty released as follows: UCC Instrument Number <br />. . County InsVument Number <br />TAX PERIODS <br />� SUBORDINATION. Tha State Tax l,ien is subordinated as follows. UCC instrument Number <br />County Instrument Number • <br />I hereb iry that the Nebraska Deparbnent of Revenue has complied witn tne revenue iaws or �ne s�ate or neQrasRa �n <br />deie of the terminatio a I releasa, or subordination indicated above. <br />sign ���� � Revenue Agent / I„� o�, 402 471-6067 <br />here p�parers Signature r J � d ���� Title Date Telephone Number <br />_/��j n�Lrj(,P� /� Senior Revenue Agent �- /3'�02. <br />A or¢e Signature TiUe Date ��� <br />4-�fi8 Rev. 8-85 Supersedes 4-232-69 Rev. 10-95 . � <br />\� <br />� <br />�:. <br />l <br />i <br />{ <br />