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�� . . . . <br /> �- � � � � <br /> ''�;�� . � . .. .... .���"" <br /> ,..,,,,,, t.. . ., . ._I:` - <br /> , -�i� <br /> ....:�.ti _ <br /> .. � ,��"�:-.. <br /> j ' /) .. . . . . .r�. •:.:�r-.�..;.-�Y..;1,{,'ffS?��.�'�f- <br /> . , �, <br /> : . � ��':"-'� <br /> ..;. <br /> �.. <br /> ��,�, =.�: <br /> ._:-. <br /> � cc; c� cn rT� <br /> � � � o � � � n �6 : <br /> � � <br /> ' ., q � n �►' c� "� c� � `�- C' <br /> � ? jT�l -n ' <br /> rv�„�/iF 1 + . i � �• � 'Tl .Z �""►M . <br /> ,.t...oa'�' � 1 ^ ,7 ^_ x �rl �'.. <br /> � � �"J� B- <br /> 1� � j. <br /> � � Ir,�.1 . •1 � �� � f" T� � � �. <br /> a\`� •- � cn 1 =�' <br /> � . � \ �„� "'q <br /> ��l � � � s. <br /> T'I `�` , F'' 7p► ' <br /> � �� � �.....� . . <br /> . � � �''� <br /> ,>� � N N <br /> � � State Tax Lien Statement of Termination <br /> �r or Certificate of Partial Release or � <br /> - �yk. Subordination <br /> � °""`"".�,� � - <br /> 01 rw�nu� PLEASE DO NOT WRITE�N THIS SPACE <br /> " pursuant to the revenue laws of the State of Nebraskn�notice is dereby <br /> ��'.� given that the Stute Tax Uen which has been duly flled by the Nebrasku <br /> DepArtment of Reveaue agalnst the below-nomed taxps�y�r,Is terminuted, <br /> � pertlully released�or subordinuted to the extcnt indlcAted betow. <br /> , <br /> .. �' Nebntka IGenuf�catwn Number Tex Calegory Saial Secuiny a Feclaral IA.NumDa Spuus�'���+�5ecurny NumD�r <br /> ?fi761A2 Q1 505-78–y7�_._.h--T�q <br /> Llen 6erial Number <br /> uen Fiiea with uace oi i.�m, <br /> 7 G� 's's6 �Ra9��teratDeeda ❑CounryCiertc 9-2U-97 IiALL <br /> BUSINESS NAME AND LOCATION AnOqESS <br /> TAXPAYEA NAME AND MAILIN3 AODRESS <br /> ' Name <br /> gusiresf Nome <br /> DENNIS II�f�3�LAiAN <br /> Street or Other Mailiny Addiess <br /> Stteet Addres! <br /> zzs� NoKmFC c��.u��xn <br /> � LP�e �� State �p Code <br /> ��ry Stale <br /> GRAND 'lSLA1�D iVF' 6680� <br /> � TYPE OF ACTION <br /> �TERMINATION OF TAX LIEN. 'I1ie Statc Tax Licn is hcrchy fully tcrminatcd.INSTRUMENT NUMBER G� � HII� <br /> ' ' TAX YEARS(corporat�,Individual Income,end withholding tex only) <br /> c <br /> ❑PARTIAL RELEASE. 'Ilic Statc Taz Licn is partiully relcascd as follows.INSTRUMENT NUMBER _ <br /> � � TAX YEAR3(co�porete,Individuel Income,and wlthholding tax only)_ <br /> �, ❑SUBORDINATIQN. 'Iltc Statc Tax Licn is subordinated as tollows.INSTRUMENT NUMBER _ � <br /> „ � — <br /> — �,: <br /> Neme ot parry makmg request antl responsibla kr hling eertdrcate of pamal releasa or subordinauon xolh epproprfa�o M1lingofficer. <br /> I hereby certty that Ihe Nebraske Department of Rovonue has compllod with Ihe rovonue lavnot tho State o1 Nobraska In Mo doterm�naUonot the <br /> lormmnflon,partai ruie so.or suDOrdinatwn mtl�cnted above- � (2 / ���85��C�y1 <br /> sign �� �L u <br /> T�le Date T&le(�hone N0. <br /> here Pfe�arer'ss�gnature � O A • <br /> �� i r ✓�3•_✓ <br /> � . . • e � <br /> Q�� uthonz ign e TAI° <br /> � NEBRAS DEPARTMENT OF REVENUE-White and Canery Coples TAXPAYER•Pink Copy COUNTY OFFICE-Goldenrai Copy <br /> 42326E R!v-&98 Su(ri9e0ei 4272•68 R�v 10•DS <br /> - : � f- <br /> � , <br /> _ __ __ <br /> � __ ._ - <br />