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� �� <br /> I ' <br /> �tate Tax Lien <br /> ,,,�, Statement of Termination er <br /> �°�.�:' Certiticate of P�rtiai Release or Subordination _____ <br /> {.1en Ser�al Number pocumont Serlal p�te of Lion Soclal SoCUrlty Numbar or <br /> Number Federil I.D.Numb�r <br /> � 9 02 816 14004 2-7-89 5Q6-58-7651 �d� �0QiQ1 <br /> N�broika 1.0.NumCer County L an Filecf�'Vit�� SRouse's Sacial Sacurtty <br /> � R�4�tter o1 Qaads NumEnr <br /> 4871995 Hal� C� co��tv cie�k � <br /> BUSINESS NAME AND IOCATION ADORESS TAXPAYER NAME AND MAiLINO ADDRESS <br /> Huf�n�s�Nsme � Nams <br /> John R. Galvan <br /> Stn�t AtltJnfs Stn�t or Oth�r Mai11n9 Addreu <br /> 208 North Darr Street <br /> C11y State 2Ip Code City Stat� 21p Coae <br /> Grand Island NE 68801 <br /> Pursuant to the ravenue laws of the State of Nebraska,notice is hereby given that the State Tax Lien which hxa ban duty <br /> filed by the Nebraska Deputment of Revenue against the above named texpayer,is terminated.partiaUy releaxd.or subordI- <br /> nated to thc exten3 indlcated below. <br /> TYPE OF ACTION <br /> �7 TERMINATION OF TAX LIEN.The State Tax Lien is hereby fuUy terminated. <br /> ❑ PARTIAL RELEASE.The State Tax Lien is partially released as follows. <br /> Name ot DartY making revuest antl resvonslbte Tor filing certlficate ot vartial reiease witb aaPropriate t111ng ofticer. <br /> ❑ SUBOROINATION.The State Tax Lien is subordinated as follows. <br /> � - <br /> } _ - <br /> Name of partY msking request anC resROntlbte tor f111ng certitieato of suGOrtlinatlon with apDroprlate tllin9 offlcer. <br /> 1 heroby CE►tlty thit thE Nebnska �epartment of Revenue has comDltOt1 wlth th0 revenue IawS oi th0 St0t8 Of NEb1�SK�i�thE .- � <br /> determinatlon of the termination,Pattlal reteau o�zubortlinati0n intlicatetl above. <br /> . • � � f O "_ <br /> s�gn '�na�inrc Caruirn �C7A1�S't ��G— <br /> �nr' 1 rtatu e TIt1e Date � <br /> � :.�he � Revenue Agent SuQervi sor ��-�-�1G <br /> � autnorizetl Slgnatu e Title Date <br /> FOA COUNTY OFFICIAL'S USE � <br /> � <br /> .Z '� <br /> .. <br /> • �:= <br /> ii� :t��'�', ;::' <br /> �'• � ti <br /> . • <br /> �' ` <br /> �.. '' J' ' <br /> m. . . . <br /> ., t <br /> s•� <br /> .'r • . <br /> NE8RA5KA DEPARTMENT OF REVENUE —White and Canory Copies TAXPAYER —Pink Copy COUNTY OFFICE—Goldenrod Copy ` <br /> -----.._._ __ -- °-- .. . . -- ' . � <br /> TfIL' ATT11CIiED NO't•ZCE O! 3T1hTE TAX LYEN TERMINATION SHOULD BE FILED WITH HOTf� �. REGISTER � � <br /> OF D� IIND 'Y7�E Cat1NTY CLERlG. THIS IS TO TERMINATE TFIE LIEN(S) FILED PRIOR TO JULY 17, 1986 , <br /> WITH HOTH OFFICES. ; <br /> THE REGISTER OF DEEDS IS REQUESTED TO FORWARD THE DOCUMENTS TO TNE COUI7TY CLERK. ' <br /> DISTRISIJTION OF C9PIES: <br /> LWHITE: TO BE VALIDATED BY BOTH THE REGISTER OF DEEDS AND TfiE COUNTY CLERK <br /> 11ND RET(!RN$D TO THE NEBFiASK11 bEPARTt•fENT OF REV�f7UE. <br /> CAHARY: TO BE KEPT 8Y TlIE REGI5TER OF bEEDS. . ��` <br /> � <br /> GpLD£t7P.Qn: 'I'U P.E Y.�I'T RY i'iif: C�Ut7'i'Y CLEFiK- �- �- <br /> � r. .. <br />_ TfiF.FLF. IS t70 FEF: TO BF. Cl111RGF,p FOR R 'I'I:FtM1t7A1'IOtI tJ(�TICF:. . <br /> TH1►�7K YqU FOR YUUFt (:CX7PEN►TIqt1. <br /> 1�.� � <br />