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05/01/2001 08:52 FAX 14024714429 <br />Or <br />nebreaka <br />department <br />of revenue <br />NEBRASKt% UCC <br />2002 <br />9901137522 pys 1 <br />EL12pLDF CHRISTINE k <br />Filed N i3C12001 03.13 0M <br />200103.940 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />ERMINATION OF XTATE TAX LIEN <br />INDIVIDUA INCOME TAX <br />IF YOU INQUIRE ABOUT Y0 <br />ACCOUNTS REFER TO THESE NUMBERS: <br />SOC. SEC. Nila, <br />508924266 <br />NEBR• IDENT• NO- <br />34613799 <br />SPOUSE SQC. SEC. <br />NO. 505940971 <br />TAXABLE YEAR <br />1991 <br />JESSE .E CHRISTINE R ELIZALDE <br />LIEN. NO• <br />960050279 <br />13607 N TRADITIONS MAY <br />LIEN RELEASE NO. <br />011021674 <br />HOLLAND Al 49424 <br />COUNTY <br />HALL <br />Former AwesS: <br />DATE OF NOTICE <br />2001 <br />&04 W Koen9 <br />INSTRUMENT N0. <br />JJ__ <br />.I�: :AWS, <br />&ewdlska NE 1' ux! <br />PURSUANT TO THE <br />REY£N OF <br />THE STATE OF NEBRASKA# NOTICE IS <br />HEREBY GIVEN BY <br />THE NEBRASKA DEPARTMENT <br />OF REVENUE THAT THE <br />STATE TAX LIEN WHICH <br />HAS BEEN DULY <br />FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL <br />INCOME <br />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 TERMINATION. <br />PREPYER SIG,tI %A T .�7L� — DATE <br />04 -• <br />UTH.ORI D .SIGNATURE <br />DATE <br />Please forward to: <br />Nebra,,ka Department of Revenue <br />4500 Avenue I PO Box 1500 TMENT OF REVENUE— White and Canary Copies TAXPAYER —Pink Copy <br />Scottsbluff, NE 69363 -1500 r- 14S- 1979 Rev. 2 -2000 Supersedes 7.145.1979 Rev. 10.1995 <br />3 <br />