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05r18/2000 14:56 FAX 14024714429 NEBRASKA UCC 1a002/004 <br />S cc <br />��`�� - i Illlll lifllrliil! Illli Illl! IIIII II!!!1 <br />3 6900055645 Pgs. t <br />\' cHon -m RAY G <br />S Filed 05 %1912000 1 135 RA <br />200004086 <br />Or Notice of State Tax Lien <br />nabrnMs <br />depadment <br />ofrrrenua <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Return to: <br />STATE OF NEBRASKA.�y <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460;. • r` <br />GRAND ISLAND NE 68803 ' ` ERM.INATIOW.;Of iSTATE TAX LIEN <br />:;;;I�IDZYI13UAi. INCOME <br />. x TAX <br />a�a . <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNTi REFER TO THESE NUMBERS: <br />SOC. SECe NAe 442460458 <br />NEBRe IDENTe NOm 40166946 <br />SpOUSE SOCe SEC. Noe <br />TAXABLE YEAR 1996 RAY G CHOATE <br />LIEN NOe 992600063 1716 NORTH EDDY <br />LIEN RELEASi NOe 001311885 GRAND ISLAND NE 68801 <br />COUNTY MALL <br />DATE OF NOTICE 08/10/2000 <br />INSTRUMENT NO* r. <br />PURSUANT TO THE REVS LAMS OF THE STATE OF NEBRASKA3 NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THIS TAAEARMINATION@ // /1 %j, <br />ee.A. .7- ..... •�e•7- xv ... ... t.. e.. . :.: �� ..... <br />PREPARERS SIisNATURE TITLE GATE <br />U i�NA E TITLE DAT <br />Km <br />Vt <br />NEBRASKA DEPARTMENT OF REVENUE— White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy <br />Printed with say ink on nlryeMd papa 7. 14649 Rev. 10 -96 Supersedes 7- 146.79 Rev, 5.91 <br />