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Jon, 1L 1014 3:34PM..•. NE Seoreta <br />nimpo ommimmIM <br />201403467 <br />\f dl.Sr:L pros Mr of <br />REVENUE <br />y of State - UCC.. <br />pursuant to the revenue laws of the State of Nebraska, b notice is hereby <br />given that the State Tax Lien which has been duly tiled taxpayer, the <br />is <br />Department of Revenue against the below-named a eats r, indicated <br />terminated, partially released, or subordinated <br />below. <br />No, 5210 P, 2 <br />Me See uT M.* Jam A wY• -- uCC TIC <br />� l <br />i <br />1 <br />9914737199 -5 Pit:: 1 <br />PATEL simaTA V. <br />Filed; 06111(2814 01,43 PM <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Social Security Number Spouse's Social Security Number <br />Nebr e c Identification Number ( - 5804 <br />9490779 D ete o Li en Ti3x CaUegory County <br />Lien Serial Number <br />Lien filed with 16 8 HALL <br />120080048 oRe of Deeds DCounly Clerk 03101 /2 <br />TAXPAYER MAINE. AND MAILING ADDRESS <br />BUSINESS NAME AND LOCATION ADDRESS S Name <br />Business Name SUJATA V. PATEL <br />Street or Mauling Address <br />Street Address 2214 COTTAGE STREET Zip Code Zip Cade City 66803 <br />66803 <br />City GRAND ISLAND NE <br />Type of Action <br />9908550440 <br />© TERMINATION OF TAX LJE.N- The State Tax Lien is hereby fully terminated. lnstrum nt Number inst#200801 S5 <br />I ndividual income, and withholding leX only} 2006 <br />TAX YEARS (corporate, rnent Number <br />0 PARTIAL RELEASE. The State Tax Lien is partially released es follows'. County CC In i�� rd Number <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />El SUBORDINATION. The State Tax Lien 1s subordinated as follows. UCC Instrument u Number <br />Number ^ — <br />County <br />ras ka + . artrnent o Revenue • 8 compiled with t e, ro v°nua 12 0 of the Slate of Nears 11 <br />rtial releaSe or Subordination indicated seine- <br />40 471 -5711 <br />Revenue Agent We Telephone Num ber <br />title / , / <br />Revenu Senio a nt Dale <br />Title 4- 22.88 Rev. 6-98 etpersedes .1-23Z-50 Rev. 1045 <br />