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� <br /> r� , r^. .--�--....--------...._ <br /> �� <br /> ��. i .. ----._._.. . ...... . _. <br /> F �1� JJ 'NE Sue e! Stetu • U[f. 09 <br /> �� I I I 1 1�I I l l l l l l l l l I l i l l l l�l l i l l l i i i i l 1 1 i 1 <br /> 9999004050 Pas t <br /> wlLF1NGER AUpREY � <br /> Fiieu 12/30/1999 01 3' PM <br /> 2000U0002 <br /> � Sta�#e Tax Lien St�tement of Terminatian <br /> �� or Certifi�ate of Partial Release ar <br /> "'""`` Subordinatian <br /> e��.►a�,o�� . . . . . . . <br /> �e rw���. - �„ _ _. <br /> • •. �f��A,SE DO l�OT Wp(T�SN THIS S�ACE <br /> Pursnant to the reveaue�aws af tbe State of Ne�c�as�,n��ice is�hereby <br /> �y�tlnat llde St�te Tax Lien w��,ch has be�w du�y�iied by t�le Nebrasks <br /> T.lepartment oP�tevenue against the below-named ts►xpayer,is terminated, <br /> partiall�released,or subordinated ta the extent i�dRcgted below, <br /> � <br /> i <br /> NebrasRa ld9nofiCati4n Number iaz Category SOCial Security or Federal I.D.Numbd:t Spo�se's SOCi�I 5GCurlty Number <br /> ��s4a�9 0l sai—�c�--a72s <br /> Lien 5�18!Number Lien Flled WNn Dste of Lien County <br /> 9,/0 7/3 7$ �Aeg�ster of DestlS �Co�rny c�erk ��—��—I9 9 9 �T <br /> � BUSINESS NAME AND LOCATION ADL?RESS TA7CPAY�R NAME AND MAIL.ING ADDR£SS ^� <br /> @uslnena tJam6 Name <br /> LT Y �d �.__ <br /> Streat,0.dtlr6ss Stre9t or ON�J!MBding Address <br /> Gry 5ta4o Lp Cotle Gity Stata Zp Goae -- <br /> f TYPE Q�AC7'IO�NI �� � <br /> �TF,RMINATION OF TAX I.IEN. T7�e State"�ax Lian is hereby i`ully terminatcd. 6NSTRUMENT NUMBER �9-1Q766,t'i <br /> TAK YFARS (corporate, indivldual income, and wlthholtling tax oNy) ��G — $Z��3�3~��' <br /> �PARTIAl.RELFASE: 7he Statc Tax C.ien is partially re�Cased a's Follows. 1NSTRUM�NT, Nl1M�ER � T <br /> �'AX 1fEARS (oo�porete, 1ntllvldua� income, and wt#hhniding tax onhy) __ <br /> ❑SU80RQINAl"ION. Thc SCa�Tax Lien is subordinated as follows. INS3RUM�Nt NUM9ER ,,,, _ <br /> Return to: --- <br /> STATE��I�SEBRASF(A <br /> DEPARTMEN7 OF f��VENUE <br /> �811 �N�$T 2ND ST STE A60 <br /> GRAND ISLANb NE 68803 <br /> Name of oarry making request and�esponaihle Tor filirg cerbticate oi parda�releaae or subordinavon wit�approprlate filPng aificor, <br /> I hereby�th�the NebrasKa Departmorrt of Revenua h bOmpiied wiFtr'thA fev(+�1Ue laws o'U1g StaIO ot Nehrask3 iff the detertnination 41'tRe <br /> tarminauan,p rtiat rele� ,or s bonJination�ndicaced above. � /� <br /> SI��I .,r� , �� �U�i'�3�';7 �*G�(� <br /> h�re PrepArer'sS�gnature , � Title1�,d D3te TOlf+ph�neNa. r <br /> r' c-. f /,�,f�;�'`i,;, <br /> � r �A7 -�' " _ + -_ <br /> ,4uthorized � atur � rrae a oaf'� <br /> . . <br /> N�BFU4SKA DEPARTMfiNT OF REVENUE- and Candry Gaples TAXPAYER-F'ink Capy COUNTY OFFICE•Goldenrod Copy �r <br /> 4.232.B8 A9V.&96 SuVas6CB8:-�'e.3i-�4 Rw.14�45,,. <br /> r-�.•d FJi�ISIr'�I(I :;•�•n ��i��a:se �e. fia �,�f�r <br />