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03/19/2012 MON 15:03 FAX 402 471 4429 UCC SSCRETARY OF STATE ~~~ 8a11 <br />D <br />� � <br />2012021 <br />�'apl�ry�tFA d7l��srtrncibrt a4 <br />�i�1E�11�E <br />wWw.rivtr.aN.n�.Obv <br />�o0z/010 <br />NE Sne af Stale John p Gale - UCC T09 <br />9912687847-5 Pes: 3 <br />BUSS OE�dNIS S <br />Filed: 03/19/2012 10:19 AM <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordinafion <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 />tertninated, partialiy released, or subordinated to the extent indicated <br />below. <br />7831137 <br />08/05/340 I� Register of Deeds �County Clerk <br />BUSINESS NAME AND LOCATION AppRESS <br />Name <br />ity Number <br />xxx-xx-6815 <br />05/08/1998 � 01 � Hall <br />TAXPAYER NAME AND MA(UNG ADORESS <br />Name <br />Dennis S Buss <br />StrQet or Mailing Adi <br />533 N Elm <br />. Red Cloud NE 6897U <br />7ype of Action <br />QX TERMlNATION OF TAX LIEN. The State Tau Uen � hereby fulty terminated. UCC Instrument Number � <br />County Instxument Number 98 <br />TAX PERIODS (eorporate, individual income, and withholding ta�c only) 97 <br />� PARTIAL RELEASE. The State Tax Lten is partially released as follows: UCC Ir�strument Number <br />County Instrument Number <br />TAX PERIOOS (corporate, individual income, and withh tax only) � <br />� SUBORDINATION. The State Tax Lfen is subordinated as follcws. UCC InsWment Numbe� � <br />County Instnrment Number <br />• uy ma� c e naorasKa uepamnent ot rcevenue nas complieq with the revenue laws of the 5tate of Nebreska in <br />determi a o th t lnationr a r e, or subordination i�dicated above. <br />sign Revenue Agent Y� � 402 471-5788 <br />here P�@Parer' �gnat e Tdle � Date Telephone Number <br />�l ��,��. Revenue Senior Agent �3 / 7�.2 <br />Authomed Signature Title Date <br />a-z32�9 Rev. eA8 supersedse a-23z-p Rev.1a95 <br />SEE ATCqCH�ENTS <br />