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01,'19!2001 09:53 FAX 14024714429 <br />Ir <br />n.lx.ek. <br />deprtrrnt <br />of rwmw <br />NEBRASKA UCC 9002/005 <br />Ne 111111111111111111111111 1111111$11 W <br />9901109978 Pgs. 1 <br />LINCOLN ST MANOR <br />Filed. 0 118)2001 02.58 PM <br />09l00M <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 <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against thebelow -named taxpayer, is terminated, <br />partially released, or subordinated to the extent indicated below. <br />PLEASE DO NOT WRITE IN T14S SPACE <br />Nebraska Identification Number <br />Tax Category <br />Social Security or Federal I.D. Number Spouse's Social security Number <br />5586836 <br />21 <br />47- 0714397 <br />Lien Serial Number <br />Lien Filed With <br />Oate of lien County <br />5/03/315 <br />® Register of Deeds [ Courityclerk <br />09 -05 -95 HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />LIM= ST. MMNOR <br />Street Address <br />Streator Other Ma&g Address <br />2511 WEST 5TH STREET <br />City State <br />zip Code' <br />City State Zip Code <br />GRAND ISLAt3D NE 68841 <br />TYPE OF ACTION 2Z4 i <br />TER11i1INATION F TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMB 95- 106365 09-21 - <br />T corporate, Individual Income, and withholding tax all 1994 & <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 1ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for 1NIng certkze of Partial release or subordination wlth approprtato filing orflcer. <br />I hereby eernty thatthe Nebrasla Department of Revenue compiled with the revenue laws of the state of Nebraska In the detsrminanon ortne <br />termineai partial rels ors ordination Indicated above. <br />sign _� <br />Tice Date Teiephors No. <br />here Pr par sl�"°ti"a , <br />,¢�, Ti pate / <br />rbC`J Autltaized e <br />NEBRASKA DEPARTMENT OF REVENU - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE -des 42 rod Copy <br />4-232-GB Rev. flea Supersedes 423Z.8B Rev. 10 -95 <br />