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05/03/2000 14:06 FAX 14024714429 _ _ NEBRASKA UCC 005/006 <br />iiiii�-�itu� ti»�ii»���ti�i� <br />9900030913 Pis <br />MINER CHARLES T <br />FLted: 0510312000 09.07 AM <br />200003004 <br />State Tax Lien Statement of Termination <br />Ir or Certificate of Partial Release or <br />rabIssim Subordination <br />dwerbrA"t <br />Or rev~ ASE DO NOT WRITE IN THIS SPACE <br />Y1W <br />Pursuant to the revenue laws of the State of Nebraska, notice is hernby <br />given that the State Tax Lien which has been duly find by the eNeb aska <br />Department ofRevenue against the below-named taxpayer, <br />partially released, or subordinated to the extent indicated below. I <br />1 JVJVI Date o <br />d Number Lien Filed With <br />1 410030 Register of Deeds ❑ County clerk 0! <br />BUSINESS NAME AND LOCATION ADDRESS Name <br />wine <br />Address <br />state <br />or <br />Number <br />NAME AND MAILING ADDRESS <br />For Other Mailing Addrees <br />4 s 11 TH APT 2 smote OUNCIL, BLUFFS TA 51 <br />TYPE OF ACTION <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER <br />rex vveA eexoorata individual income, and withholding tax only) 19g5 UC <br />p .RTIAL RELFASE. '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 />Zip Code <br />Please forward to; <br />Nebraska Department of Revenue <br />4500 Ave Y PO Box 1500 <br />Scottsbluff NE 69363 -1500 <br />ryame of party making request and reeponsible br filing c-I Ri ats of partial release or subordination With appropriate tllirag officer, <br />I hereby DalOty U7at the NeerAska Deparanertt of Revenue has eurnPiied wIth the roveme laws of the State of Nebraska in the determination of the <br />termination, 1 release, or subordination indi aced above. <br />sign �� !� canAl 632- -?&O <br />Data ' GPM No. <br />here 1e <br />Title <br />6 DEPARTME T OF REVENUE - White and Ca3rtary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Capy <br />a2a2.06 Rw, aBB GuPRO� a- 232'Ba Rw. 769ei -� <br />