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0/19/2001 09:53 FAX 14024714429 NEBRASKA UCC fa004!005 <br />- 111111111111I11I1111I 1111NNII(IIIlills <br />�A DEvESF AR3E Pas <br />lv� DEVESE F1Rf1ETTE C <br />Filed 0111812001 02 58 PM <br />2`00100499 <br />Or Notice of State Tax Lien <br />nbraska <br />tlparRMnt <br />of '"1° PLEASE DO NOT WRITE IN THIS SPACE. <br />CTERNiNATIO OF STATE TAX LIEN <br />NDIV UAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOONTs REFER TO THESE'NUPBERSS <br />SOC. SEC* No* 297804352 <br />NEBR! IDEHTI NO- 40960499 <br />SPOuSE SOCs SEC! NO. 508829394 <br />TAXABLE YEAR 1997 <br />LIEN NO* 98Z611)013 <br />LIEN RELEASE X101 010090676 <br />C CUNTY AdL ammm <br />DATE OF NOTICE 01/09/2001 <br />INSTRUMENT NO1 �yJLIQLL <br />DERRICK E ARNETTE C DEVESE <br />PSC 41 BOX 3665 <br />APO AE 09464 �0\' <br />PURSUANT TO THE REVENUE LAYS OF.THF STATE OF NE8RASKA! NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN UNICH HAS BEEN DULY FILED AGAINST THE ABOVE NAKED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATEDr <br />I HEREBY CERTIFY <br />WITH THE REVENUE <br />THIS TE XXAT1GNa <br />sea <br />• iiN �a •t <br />PREPARE$ <br />THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />LAYS Of THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />taif f Y>r•"i • • <br />SIGNATURE <br />'41P(1-11- AI•! •!•111 <br />TIT LE <br />'lease forward to: i <br />debraska Department of Revenue <br />500 Avenue I PO Box 1500 <br />cottsbluff, NE 69363 -1500 TMENT OF REVENUE —White and Canary Copies <br />!!ii'�il��is•�!•r1 <br />DATE <br />4JI010 <br />DATE <br />m <br />TAXPAYER — PInk Copy <br />7145.1979 Rev. 2.2000 Supotseaes 7.145.1979 Rev. 10 -1996 <br />