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02/14/2012 TUE 13:05 FAX 402 471 4429 UCC SECRSTARY OF STATS y�� Hall <br />l l �` <br />V <br />20120116� <br />���� <br />_ �,�,�,�� <br />�002/002 <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br />IN <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <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 <br />terminated, partially released, or subordinated to the extent Indicated <br />below. <br />10540083 <br />Number <br />11049939 I �Regfster of Deeds �County <br />BUSINESS NAME AND LOCA710N ADDRESS <br />XXX-XX-9232 <br />12/28/2010 I 01 <br />XXX-XX-0956 <br />Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />Ramone Verjan Velazquez & M�ria E Fierro <br />�eet or Mailing Address <br />2211 Cochin St. <br />Grand Island Ne. <br />�� Type of Action <br />�[�C TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number <br />County Instrument Number <br />68801 <br />'F@ 6832-1 <br />. 2 <br />TAX PERIODS 201 D <br />� PARTIAL RELEASE. The State Tax Lien is partlally released as follows: UGC Instrument Number <br />Counly Instrument Number <br />TAX PERIODS <br />� SUBORDINATION. The State Ta�c Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />of the <br />revenue <br />partial release, or subordination indi�ted above. <br />�,� Revenue Agent O 9 a/.Z 402 471-6067 <br />� , ,.� Title ate Telephone Number <br />H Senior Revenue Agent �- /D- / �— <br />7itle Date ,,, <br />a-r�z�e ►�. e-9s s„�r�a� a-xa�s Rw. �a�s <br />�•� <br />