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WAR 27 'EO 02 :03PM 1J. C. C DI`.!ISION <br />Me sac 9i s�,P . 2/3 09 <br />I I�IIII lllli lulllllll hill llili III lip <br />9908039722 Ps-i t <br />CA?ALLERV MARTIN J <br />Pi em, 0312712000 10,43 AM <br />2004u 2344 <br />Or Notice of St • <br />State Tax Lien <br />n�prwke <br />�I9PMITM! <br />of rov9nuv <br />7PLEA"SE NOT WRITE IN THIS SPACE <br />Return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 480 <br />GRAND ISLAND NE 68803 TERMINATION' bF STATE TAX LIEN <br />INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNTt REFER TO THESE NUMBERSS <br />SOC• SECe NO• 505219353 <br />NEBR• IDENT• NO* 32341408 <br />SPOUSE SOC, SEC. NO, 5V 9;j4M <br />TAXABLE YEAR 1994 <br />LIEN NO* MARTIN J CABALLERO <br />983450036 2903 W STOLL.EY PARK ROAD <br />LIEN RELEASE NO- 000814604 <br />COUNTY HALL GRAND ISLAND NE 68802 <br />,i)ATE OF NOTICE 03121/2000 <br />INSTRUMENT Nor <br />PURSUANT TO THE REVENUE LAS OF THE STAT4' t$" M -ASKAr NOTICE I$ <br />HEREBY GIVEN BY THE-NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILL AGAINST THE ABOVS NAMED <br />TAXPAYER FOR INDIVIDUAL INCOM4 TAXES IS TERMINATED. <br />I HEREBY CERTIFY THAT THE N98RASKA DEPARTMENT OF REVENUE HAS COMPLIED' <br />WITH THE REVENUE LAMS,OF THE STATE OF NEBRASKA IN THE DETERMINATION Of <br />THIS TERMINATION. <br />PRLcPARERiS SIGNATUREa`�':S'� •.•.•....J'�"'` <br />TITLE •..•.. ..•.•.... <br />GATE <br />' TI 73 A7H +Are �G to <br />+i •r.eer•. <br />TITLE <br />DATE <br />NEBRASKA DEPARTMENT OF REVENUE — WI,Ite and Canary Copies <br />PNrftetl E Boy Ink on EP TAXPAYER — Pink Copy COUNTY — Goldenrod ropy <br />7145.79 Rev. 10.95 Supw9e0os 7.145.79 P9v. 6.91 n <br />