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200100292
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Last modified
10/13/2011 11:23:13 PM
Creation date
10/20/2005 7:47:39 PM
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DEEDS
Inst Number
200100292
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01/12/2001 12:03 FAX 14024714429 NEBRASKA UCC 1x002/002 <br />.Ir <br />wear mnt <br />W twonve <br />20010©292 <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />69101 <br />1111111111111111111111111111111 IN III! <br />9901108479 Ags. 1 <br />HARRIS KAREN A. <br />F11ud! 01f12l2001 09 33 Am <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby PLEASE DO NOT WRITE IN TIfl9 SPACE <br />given that the State Tax Lien which has bees duly filed by the Nebraska <br />Llepartment of Revenue against the below -named taxpayer, Is terminated, <br />partially released, or subordinated to the extent indicated below. <br />Se11alNumbor -- '-- �""''` iiw'A.u1M <br />Clem Filed With <br />Register of Deeds [] County t7erk <br />_— BUSINESS NAME AND LOCATION AD0111 <br />ESS <br />StrMAddress <br />Code <br />Security or <br />5-90 -1 <br />09 -07 -00 I 1�aI1 <br />Name TAXPAYER NAME AND MAILING <br />Karen A. Harris <br />street or Other Meirng Address <br />Grand Island y DTE lap Code <br />TYPE OF ACTION 68801 <br />TERMINATI OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBE=UCC 00O82028 <br />TAX YE S (corporate, Individual Income, and withholding tax only) 199 <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />LJ TAX YEARS (corporals, Individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Name of party making request and res ncibletorilli ceallcme of rtisl r <br />Pc n9 Pa oleaso or subordlnation with <br />. approprialaflling r. <br />S <br />Deparidica of Revenue has oomp— with um revenue taws of the Staia of Nebraska In the determination of the <br />ttion Indicated above. <br />here' as' nnia n� c <br />Daee — 2 4 <br />f Revenue S�visCir TetepttoneNo. <br />Authorized re 71da 01 -08 -01 <br />NEBRASKA DEPARTMENT OF REVENUE - Whi i and Can Co tea Date <br />�Y R TAXPAYER -Pink Copy COUNTY OFFICE- Ooidenrod Copy JJ,� <br />4232.68 Rw, 8,W SLp8reed" 4.732.60 Ray. 10-88 <br />
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