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,04!24;2001 08:24 FAX 1.4024714429 NEBRASKA UCC Z 002;'002 <br />0�1 <br />200103525 <br />11E oil <br />S3iElIlll <br />RASI•990113p$92 IUSSEN poUGLAS K Pss t <br />Filed: 0412312001 02:44 PM <br />State Tax Lien Statement of Termination <br />Ir or Certificate of Partial Release or <br />net ardor <br />deportment Subordination <br />at revenue <br />TYPE OF ACTION J <br />[ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 8 -1 10 713 11 -02 -9 <br />TAX YEARS (corporate, individual income, and withholding lax only) 1994 & 1995 <br />rEl PARTIAL RELEASE. The State Tax Lien is partially released 2113 follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lier. is subordinated as follows. INSTRUMENT NUMBER <br />Please rotum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2111) ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for filing certificate of partial release or subordination with apprcpdatefilog officer. <br />1 nereby, certify that the Nebraska Deparimenl of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />termin ion, pa .al release, or ubor ination indicated above. <br />sign A <br />here a ersSlgnae,re Title Data iTmepm ONO. qX Authorized re Tore <br />NEBRASKA DEPART N OF REVENUE - "14hite and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4-Mea Rw, 9-98 sup"&ca as 4.232.68 Rev. IC-9- <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Putsuant 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 Identification Number <br />Tax Category I <br />Social Security or Federal I.D. Number <br />Spouse's Social Security Number <br />32645120 <br />22 151.8-94-1028 <br />Lien Serial Number <br />Lien Filed With 1 <br />Date of Lien <br />Count' <br />9821 2 0 3 6 4 <br />® Register of Deeds ❑ Courtly Clerk <br />11-02-98 <br />FiA Y,L <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS —� <br />Business Name <br />Name <br />DOUGLAS K RASMUSSEN <br />Street Address <br />street or Other Mailing Address <br />2004 NORTH WHEELER APT 2A _ <br />city State Zip Code <br />CRY State ZP Cxe <br />GRAND ISLAND NE 688171 <br />TYPE OF ACTION J <br />[ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 8 -1 10 713 11 -02 -9 <br />TAX YEARS (corporate, individual income, and withholding lax only) 1994 & 1995 <br />rEl PARTIAL RELEASE. The State Tax Lien is partially released 2113 follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lier. is subordinated as follows. INSTRUMENT NUMBER <br />Please rotum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2111) ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for filing certificate of partial release or subordination with apprcpdatefilog officer. <br />1 nereby, certify that the Nebraska Deparimenl of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />termin ion, pa .al release, or ubor ination indicated above. <br />sign A <br />here a ersSlgnae,re Title Data iTmepm ONO. qX Authorized re Tore <br />NEBRASKA DEPART N OF REVENUE - "14hite and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4-Mea Rw, 9-98 sup"&ca as 4.232.68 Rev. IC-9- <br />