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<br /> � State Tax Lien
<br /> ���• S#atement o� Termmation or '
<br /> _ � Certificate of Partial Release or Subordination
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<br /> � � LIln Sarlat NumDer t7ueument Seriai pate of�,ion Sactat Seeurfty NumDer or
<br /> 892t6306 lqpqp '�1�0��8� FeOetaii.D.NUmber (��r o��3�
<br /> 505-94-4660 ��v
<br /> IYeDruka I.Q NumOe► County 4ten Ff1ed With Spouse's Sec1a1 Seeurity� �
<br /> 2687�750 }�d�� � Reglstet pf Deetls Numbec ;
<br /> �Co�crty fte•k „ �' - -
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<br /> BUSIAfESSRtAMEANDL�CAaFQltiiAIIt3RF.SS . TAXPAYER,.. AHL? Ail•�NG . ' ':'�,'-�,��r,:
<br /> eusiness tvame ;,: ' " 1��:. iVF Ak1DAES,S', -
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<br /> � �' �,- ;;��, - . , OtYer Zflaigrt4'ItQdreKs
<br /> , ��-... - .: ,'.. , . -.,:;:i�•�:�;�'_:.; . . - 6C19 North Ke�nedy
<br /> City ' '` 54ate 21P Cot10 city � `
<br /> State Zip Coda
<br /> Grand Island NE 58803
<br /> Pursuant to the revenue laws of the State of Nebraska.nntice is he�eby given tdat the State Tax Lisn wfiich has 6eea dWy
<br /> tited try the Nebresic�Deputment of Re��enue against the a6ove named taxpayer.is temiinated.puttaDy rekased�or subordi•
<br /> - nzhd to t6e extent indicated Ae(ow. .
<br /> TYPE OF ACTION
<br /> (� TERMINATlQN OF TAX LIEN. TI���e.�t� C.i� Lic��,�licnby lully tcmm�atc:l. �
<br /> ;.� fJ PARTIAL REI.EASE.Thc St:l(C�I�k LICII IS P:lftl:�t[y e�le;�scd�s tidlows.
<br /> ; NimO o}pdKy TaKt�g reqUeSt antl r¢sDOrt5lble for filing Cettlfitate oi pattidl rolaase witn dOPYOprfato}IIIn4 Otfiter, . '
<br /> , . i ._
<br /> � SUBORDlNATION.The 5tate TaK E,ieR�s subordinated a,fulluws. � •
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<br /> �� ,�A-"°��,,tq,..�scy mas.►rtg rn4uo,t arc��;,�r;�;�Se for ft:;aq cerUftcato o!subnrtlinat{on with appraptiato f���ng otfteor, —
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<br /> ' 1 h�reby certify i�dt*�•�'NAb�a�4a��aparimont�f Revenue nas cnmpllod wit�tho rovenuo lav�c ot trte State ot Nobraska In ttfe
<br />� �' �� � .��►A11n�tI0t1 ot tha tnftA;njt"ran.paft�aT rzlCase nr Subortllr�t(nn InAlcateq aAove, t
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<br /> � ��� f ' ' Revenue Aaent Suvervf sor ,.�,�2�/-�G �
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<br /> � Revenue Aaent Supervisor ?�1 Y• lc�
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<br /> Authorizkt Stgnature —'—"----�� ------r�.�.,_
<br /> r itto Date , �
<br /> FOR COUNTY OFFICIA�S USE `
<br /> �� , ,
<br />, l; TNi 11*'1'�1CHED NOTICE(S� QF TIlX LYLN �OR TERMINATION) IS tARE) Z�O BE.FZLED l�Y MI�i:
<br /> . '1'� �Gts�'E'R Cil� Di�DS. __.._ .
<br /> Tf1E DOCUMII3T(S) IS (ARE) NOT TO BE FORWARDED TO �1E COUNmY CI,ERK.
<br /> - � --- �--- - _..-DISTRIBUTION OF-GOPIES:-.._ .._. . ... .. ... .... .. ... .._. . _
<br /> .. _ ...... .. -•-�- - - ...... . .. -- - � -- �--��-------.._.._ .
<br /> � �IT�� TO BE VALIbATED BY THE REGISTF.R OF DFEDS ANb ItETUItNEp Tp T��g
<br /> DEPAATM�NT dp gEVENUE. '
<br /> GOLDENROb: TO BE KEPT 8Y Tf)E R�GjSTER OF DEEbS.
<br /> BILLING IS TO BE ONCE PER MONTH AND my�ItE W�L� gg NO PRE-P1IXMEN2' OF F�ES. �
<br />- . THANIC YdU FOR YOUR COOP�AATION.
<br /> ,'°• , N�BHQSKA bEPAH7MEniT Q:++a���r�,��E . Whitu und Canary Cupiee 7AXi+AYER •-p�nk Copy CUUNTY UFFICE - GotJenrnd Copy , T
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<br /> , . . ,�+�.- , , 4•232•68 R6v.5.86 '
<br /> , , , , , , 9uperSCUVS 4�?32•G8 Rev.1•81
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