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06/05/2000 14:01 FAX 14024714429 NEBRASKA UCC 0 004/004 <br />o� <br />u.: <br />f II[II! IIIIIsllll!!llli lilll II[II III! Ill <br />9900059976 Pas 1 <br />RILEY DIANE L <br />Filed 06/06/2000 11.10 pM <br />Fiv Cl' ti V V mo <br />Ir State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />wn'ent Subordination <br />or revenue <br />PLEASE DO HOT WRITE IN TlilS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax lien which has been duly tiled 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 <br />Social Security or Federal I,D. Number <br />spouse's Social Security Number <br />38363534 <br />22 <br />481 -64 -1753 <br />481 -64 -2013 <br />Jon Serial Number <br />Lien Filed With <br />Date of Lien <br />County <br />XH Rsgistwof Deeds [] County Clark <br />02-12-96 <br />9522 1 <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business mane <br />Name <br />IiMY D & DIANE L RIMY <br />Street Address <br />Streak or Other Malling Address <br />402 N WALNUT <br />Ory State Zip Code <br />City State Zip Code <br />CRE.STM IA 50801 <br />TYPE OF ACTION <br />f2TERMINATIONPIP TAX LIEN. T`w- State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 96:(10_19 <br />T RS (corporate, Individual Income, and withholding tax only) <br />D PARTIAL RELEASE. The State Tax lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />C' SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff NE 69363 -1500 -- <br />Name of party making request and responsible for filing oenlflcate of partial release or subordination with appropriate fling ofFoer. <br />I hereby coAly that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />larmination. p al release, or subordination Indicated above, <br />sign + -lent ? L308)632-1200 <br />here Prep Title Cate - Telephone No. <br />pPVenUe Acent SlIge v_ i Gpr <br />i Signature,' Title <br />N DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />e -132 -M Rey. 8.96 Supersedes 4-M -e6 flay. 10-95 <br />