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J� - <br /> ��� <br /> Ili!(lf �' si���r . us� �� <br /> f�lll liil!liil!Iilil IiIN!N;II�! <br /> 99�(�d16129 lys <br /> 2 0 0 0 4 0 5 S 2 yn!JENFELu7 DOPIALp !, <br /> f��ed aili9i�0(�o G2 56 �w <br /> � State Tax Lien Statement af Termina#ion <br /> � or Certific�#e of P�rtial I�elease or <br /> �.�. <br /> ��w Subardinatian <br /> P4EA$E DQ NQT WRITE IN TNl$$RACE <br /> Pursuant to the irevenue laws oF the State of Nebraska,t�otfce fs b�ereby <br /> giren that the State Tax Lien which has been duly filed by the Neb�aska <br /> De�artment ofRevenue agalnst the belaw-stamed tsxpayelr,�s te;minated' <br /> pa�ially released,or suDordinated to the extent indtcg�d befow. <br /> Nebraska Idermflcaaon Number Tax Category Social Securi�j or Federal I.D,NumDer Spouso's SaGal Sec��iry rvumne! � <br /> ���ao935 — — <br /> Llen$erlal Number . Ue�Filed With Date of Li9n CoW�ty <br /> 9 7�.a.4 0 019 �Registsr oi OeeCs Q�o��er c�� Q 9_p 5_19 9 7 HALL <br /> BUSINESS NAME/lN0 LOCATION ADDRESS TAXPAYER NAIY�E ANp MAIUN�ApDR�SS <br /> BusiAess Narr� Name <br /> DONALp I, & FLORENCE HADLN�'ELDT <br /> StraetAddress Str�et or Olher Mafing JWWess <br /> po BOx �14, 206 w SYRZA ST1�ET <br /> CRy Srate T�D Codb Ciry State Z�p Gode <br /> .�.�--�•-�..,� CAI RO NE 6 8 8 2 4 <br /> f 1YPE OF AC'�ON C� �� �. <br /> �'ERM!_eNAT�ON 0�7AX uEN. Thc State Tax�,ien is hereby fully lerntinated. INSTRIfMENT NUMBER 9�-10 753��./�:�(� <br /> TAX YEARS (carpor�te, indfvidual Income, and withholding tax only) Z�a� <br /> �PARTIAL RELEASE. The State Tax Lien is partially�leased as follows. INSTRUM�NT NUMBER _ <br /> 7AX YE4RS (corporate, lr+dh+idual incame, and wtthholding tax only) <br /> �SUBORDINAi70N� 'ihe State Tax Lian is subordinatcd ss Fallaws. INSTRUMENT N�iMBER <br /> Retum to: - , <br /> SrA7E oF r�EBRASKA <br /> pEPARTMENT OF REVENUE <br /> 1 B11 wEST 2ND sr STE 460 <br /> GF2ANi� ISLAND NE 68803 <br /> Nam9 of pafty m6thing requ9se�d reaponSiD(e h+r fifing certilic�le o!pa�tisl release or subOrdiM1etiOn w11E�apprdplidt6 h1k+g Pfficer. <br /> I h6feqy oeraty th8t th6 NebrdSkS Depar4n9ett Cf peve�u4 hs►s�sptied wiC1 the r�venue lews ot U1e 3"t8te ot Nebrasks in Sh9 de!ervtl�nadon of thra <br /> te� i0f1,pardal r e�Or s �naGOn{ndic3t9d above. �y <br /> Sj�13 ` � � � '� �L�P !,[ I�"� '�� t�� �c .�l.rG'7�� <br /> here rer'S k�atutA TAIs O�te ` Teiephon6NC. <br /> � �� fe Tnle <br /> NEBRAS D�PARTMEN F REVENU - �te and Canary C�ies TAXPAYER-Pink Copy COUNTf OFFlCE-Go�denrod Copy <br /> 4zsz�s Rev,8�96 supnseeea 4�2•se aev.ta-ac <br /> �%tr�d NOISIItIQ J•�•n w�s�:ie ��f �� tJdt <br /> _ , <br />