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03,'23/2001 16:20 FAX 14024714429 NEBRASKA UCC 1a002/002 <br />c`� <br />200102511 <br />! Ilill! lull +Illil I!!!! !li!! illll 04 <br />99tH 127457 P93 1 !i!! <br />LN riieLi. 03/2312001K12 :40 PR <br />State Tax Lien Statement of Termination <br />Ir or ertifi ' <br />C cate of Partial Release or <br />rgbrwka <br />daparbn <br />of rwmue Subordination <br />w <br />TYPE OF ACTION <br />® T RMINATIO OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 990(1122740/ <br />T YEARS (corporate, Individual Income, and withholding tax only) _ 1999 & 2000 l� <br />❑ PAR 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 />DEPART WONT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of parry making request and responsible for Iling certificate of partial release or subordination with appropriate filing officer. <br />1 hereby Certify that the Nebraska! Department of Revenue has plied with the revenue <br />tation.partial rplease,_gr suborgination Indicated above. <br />sign <br />here Preparer'sSignature <br />Da A <br />b <br />u7lorized e ig a e <br />NEBRASKA OEPAR E F REVENUE <br />the <br />Igo Date Telephone No. <br />'cos &,4 <br />Titl A <br />e 9 <br />and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.23248 Rat. 6.06 Suparadw 4232-08 Rev. 1466 <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 Identificatfor Number <br />Tax eatBgory 5oclal Security or Federal I. D. Number <br />Spouse's Social Secunty Number <br />7789068 <br />21 ' 91 —1 773485 <br />Lien Serial Number <br />Lien Fled With <br />Date of Lien <br />County <br />01 /03/314 <br />® Register of Deeds ❑ County clerk <br />03-06-01 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />TRI— GOLDEN NEBRASKA, L.L.C. <br />Street Address <br />Street or Other Melling Address <br />4602 PLETTNER LANE 4A <br />City State Zip Code <br />City State Zip Code <br />EVERGREEN CO <br />TYPE OF ACTION <br />® T RMINATIO OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 990(1122740/ <br />T YEARS (corporate, Individual Income, and withholding tax only) _ 1999 & 2000 l� <br />❑ PAR 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 />DEPART WONT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of parry making request and responsible for Iling certificate of partial release or subordination with appropriate filing officer. <br />1 hereby Certify that the Nebraska! Department of Revenue has plied with the revenue <br />tation.partial rplease,_gr suborgination Indicated above. <br />sign <br />here Preparer'sSignature <br />Da A <br />b <br />u7lorized e ig a e <br />NEBRASKA OEPAR E F REVENUE <br />the <br />Igo Date Telephone No. <br />'cos &,4 <br />Titl A <br />e 9 <br />and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.23248 Rat. 6.06 Suparadw 4232-08 Rev. 1466 <br />