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200100986
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200100986
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Last modified
10/14/2011 12:08:44 AM
Creation date
10/20/2005 7:55:09 PM
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DEEDS
Inst Number
200100986
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02/09/2001 12:35 FAX 14024714429 NEBRASKA DCC <br />t�l <br />Z003/003 <br />st•j, uec <br />1111111111111111111111111111 III !!!!� <br />9491115002 pee <br />FRERICHS TODD p <br />Filed 02109/2001 10 54 AM <br />200100986 <br />State Tax Lien Statement of Termination <br />Or or C Certificate of Partial Release or <br />eM revenventt <br />Subordination <br />t�1��•1�_[•�rI•I:I <br />® �ERMINATIO� OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER <br />T �(eorporate, Individual income, and withholding tax only) 1997 <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 Uen is subordinated as follows. INSTRUMENT NUMBER <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Avenue I PO Box 1500 <br />Scottsbluff, NE 69363 -1500 <br />Name of party making rsqueat and responsible for filing Certifi ate of partial release or subordination with appropriate Icing oftleer. <br />I hereby eerWy that the Nebraska Department of Revenue has compiled wlih the revenue laws of the State of Nebraska in the determination of the <br />vrrrMnat rdal release. or sub"netion lnftated above. <br />sign <br />a 0 <br />nrra �crprtt ,2/-1/_ (30191632-1200 <br />it a re Dale Telephone No. <br />Revenue Agent Supervisor Q <br />rued dre Title DW <br />N KA DEP-M T OF REVENUE. - White and Canary Copies TAXPAYER Pink Capy COUNTY OFFICE •{goldenrod Copy . <br />423240 Rev. 8.96 Supsmades 4232.69 Rev. 10-95 <br />PLEASE DO NOT WRITE IN THIS SPACE <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 the below -named taxpayer, is terminated, <br />partially released, or subordinated to the extent indicated below. <br />Nebraska Identrication Number <br />TaxCetagory <br />Social Security or Federal LID, Number <br />Spouse's Social Security Number <br />30541980 <br />22 <br />505 -94 -6436 <br />Lien Serial Number <br />Lien Filed With <br />Dale of lien <br />Courtly <br />9/01/305 <br />[51`11e981erofDeeds ❑countyclerk <br />01114/1999 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Neme <br />Name <br />Todd A ]}erichs <br />Strast Address <br />Street or Other Malling Address <br />Sltl� <br />City State 0-p Code <br />CRY State Zip Code <br />NE 68845 <br />t�1��•1�_[•�rI•I:I <br />® �ERMINATIO� OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER <br />T �(eorporate, Individual income, and withholding tax only) 1997 <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 Uen is subordinated as follows. INSTRUMENT NUMBER <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Avenue I PO Box 1500 <br />Scottsbluff, NE 69363 -1500 <br />Name of party making rsqueat and responsible for filing Certifi ate of partial release or subordination with appropriate Icing oftleer. <br />I hereby eerWy that the Nebraska Department of Revenue has compiled wlih the revenue laws of the State of Nebraska in the determination of the <br />vrrrMnat rdal release. or sub"netion lnftated above. <br />sign <br />a 0 <br />nrra �crprtt ,2/-1/_ (30191632-1200 <br />it a re Dale Telephone No. <br />Revenue Agent Supervisor Q <br />rued dre Title DW <br />N KA DEP-M T OF REVENUE. - White and Canary Copies TAXPAYER Pink Capy COUNTY OFFICE •{goldenrod Copy . <br />423240 Rev. 8.96 Supsmades 4232.69 Rev. 10-95 <br />
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