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<br /> State Tax Lien
<br /> Statement of Termination nr
<br /> � �»' Certificate of �artiaf Release or Subordination �i�"�' i���4 3
<br /> llsn St►iil(VumD�r Oa:umant Satsl D�tf oT Li�q SOGIai S�GUdtY NumOnr ps
<br /> Numb�r c_��_�S Fadar�l i.p.NumDSr
<br /> 88211556 i4058 � - 03
<br /> N�Onika 1.0.NumDrr Countv L.Nn Flt�tl Wlth SPOUN'3 SOCIaI S�CUtlty
<br /> 16253876 �a�1 ❑CountyrCieO��df NumDer
<br /> dtl�fNE8S NAME AN�LQCATIQN ADORESS TAXPAYER N11ME AND MAILING AOORESS
<br /> susina��Nam� N�m�
<br /> Haward M. Edwardson
<br /> � StrNt Add�qf StrNt or Oth�►Mallinp qadnsf
<br /> 1108 West 9th Street
<br /> , G�ty Stat� zIp Coae Citv Staa z1 Coa�
<br /> Grand Island NE 668�1
<br /> � ��nt to the revenue tawa of thc Shte of Nebraska.notice is hercby given that the State Tax I;,�e� whkh has been dufy
<br /> ' filed by tl�e Nebr�ka Departmrnt of Revenue apinst the al,r�ive named taxpayer.is term9nated.partir�lly reksscd�or subordl•
<br /> nated to the exant indiated below.
<br /> TYPE OF ACTIQIIi
<br /> �l TERMiNAT10N OF TAX LIEN.The State Tax Lien is hereb�� fully tern*.i.�:nC:�.
<br /> Tax Yearc 19$t b 1988
<br /> ❑ PARTIAL qELEASE.The State Tax Lien is partially released as follows.
<br /> Nam�01 p�rtY makFng npuest and mspo.�sidie tor tiUng certNlcate ot partlal�elease with approprlate 1111nq oTflcer.
<br /> . n S!�RQPif�!!�lAT!QM. The Siate Tax Lien is suhordinated as fullo�vs. �
<br /> ._..__ . _
<br /> • Plami of p�rty m�klny rtQu�st and responslDlo tor tlting eertltteate ot suboru�natlon witn aaoroprlate fi��nq ofitcer.
<br /> _ •: _
<br /> � t n�reby eertlty thst the Nebqska Depaitment ot Revenue nas comcuea witn the revenue Iaws o1 the 5late o} Ne�ras'xs In the t
<br /> ' d�tuminstlon ot the t�rmin lon,partlal reicasa or suborclinat�on Indicatea above.
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<br /> � ��yers Servlce Saecial ist � --Z ��G
<br /> : ���� 9n+tu�� Title Oat�
<br /> �' � � Revenue �qgnt $�ipervisar y—Z�!q'd
<br /> . Autboriz�tl5�9�+t r Title Oate :1�
<br /> FOH COUNTY OFFICIAL'S USE
<br /> '� TNi A!� 1b?Id!(8) GF T11X L�N (dR TEI�IIIiATION) IS (ARE) TO BE FILID ONLY IiITp •
<br /> � � � � �• / f
<br />_ '1'HL DOCf�1T IS) 25 (ARE) NOT TO BE FORWARDED TO THE COUNTY CI,ERK. "
<br /> DISTRIBtJi'�ON OF CUPIES:
<br /> i�THITEa TO 9E VALIDATED BY THE REGISTER OF DEEDS AND RETqRNED TO THE
<br /> DEPARTMENT OP ItE1TSt3US.
<br /> GOLDENRODz TO BE KEPT BY THE RF7GISTER OR DEIDS.
<br />• BILLING IS TO BE ONCE FER MONTH AND THEItE WILL BE NO PRE—PAYMF�IT OF FEES.
<br /> THANIC YOU FOR YOLiR COOPERATIflN.
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<br /> 4•?32 66 Rev.5-@6
<br /> SuGers�aes4-2316d Rev. 1�81
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