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FEB 2S 'oo 12!1OPM U.C.0 DI'- VISION <br />Please forward to- <br />Nebraska Departmcnt of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff NE 69363 -1500 <br />20000/501 <br />TIM {Ie 51.14 of Seat. - IIu11CC P.3/3 01 <br />0213838 PII�III <br />ADAMS STEVE D <br />Filed 071211f20oo 09:44 AM <br />OrNotice of State Tax Lien <br />ftbramkm <br />&p@"m*ni <br />of rrwnw _ <br />PLEASE DO NOT WRITE IN THIS SPACE <br />'"r -;: Tl<RM3NATIf3 <br />OF STATE TAX LIEN <br />=` :TH1?D19AL INCOME TAX <br />If YOU INQUIRE ABDLIT YOUR <br />ACCOUNTP REAPER TO THESE NUMBERS: <br />SOC9 SEC. N09 305760952 <br />NEBR9 IDENT9 N09 19930965 <br />SPOUSE SOCe SEC* NC" <br />TAXABLE YEAR , 1955 <br />LIEN NO- '-- 62290139 <br />LIEN RELEASE N09 000535654 <br />COUNTY <br />OF NOTICE 02/22/2 <br />DATE 000 <br />INSTRUMENT NO* •qM9.I>f, <br />STEVEN 0 ADAMS <br />3929 DCRENE BLVD <br />CARTER LAKE IA 51020 <br />PURSUANT TO THE REVENUE LAMS CF THE STATE EIF N,ESRASKAY NQTICE iS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDVAL INCOME TAXES 13 TER•MINATED. <br />I HEREBY CERTIFY THAT THE <br />WITH THE REVENUE LAWS OF <br />THIS TERMINATION* <br />PREPA IS S N 19 Z <br />THDRIZED SIGNATURE <br />NEBRASKA DEPARTMENT CIP REVENUE HAS COMPLIED <br />THE STATE OF N£BRASXA IN THE DETERRINATION CF <br />.9..:.664-, 99..9.... <br />TITLE <br />T TLE <br />DATE <br />4 1� <br />DATE <br />NEBRASKA DEPARTMENT OF REVENUE -- Whita anO Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy <br />Ar 01e6 -vim fia !n* an rkymd POW 7-745,79 Rev, 1095 Supasados 7.745 -79 R9v 9.91 L <br />