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07,106/2000 11:07 FAX 1402 <br />NEBRASKA UCC <br />00005529 <br />Z 002, 002 <br />NE wc or Illili111111iIIeIIIIIIIIIIIIIlllll /till <br />9900067x27 Pvs: i <br />KAPPERMAN MICHAEL D <br />t=iled: 0710612000 10 37 AM <br />State Tax Lien Statement of Termination <br />Or or Certificate of Partial Release or <br />ei ftme <br />d"psArseM Subordination <br />_ <br />of revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which bas been duly hied 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 TaxCatepory social security or Federal 1. D. Number Spouse's Social Security Number <br />25019740 22 508 -02 -5265 <br />Lien Serial Num t ietr Filed W6 Date of Lien Mh <br />963327011 ® Register of Deede ❑ County Clerk 01-31-97 HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Nerve Name <br />MICHAEL D KAPPEIUTAN <br />Street Address Street or Other Mailing Address <br />11575 S US HI Y 281 <br />pry state Zip Code City State Zup Code <br />DONIPHAN NE 68832 <br />TYPE OF ACTION <br />fRTERMINATION TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMi1B R <br />VY97- 100732 <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 1994 2— 3- <br />❑ PARTIAL RELEASE. The State Tax. Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, individual income, and withholding tax;only) _ <br />C1 SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER " <br />Return to: <br />— <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for fling certificate of partial release err subordination with appropriate tiling officer. <br />I *by certify that the Nebraska Department of Revenue has co mplied with the revenue laws State of Nebraska in the 6aternnadoon of the <br />�offttthe <br />tar in tort, partial release. orstlx irialionIndlcatedabove. C'd'V `" <br />2Vf- 71W <br />~t �~ � D )� �'� j. <br />sign s <br />Telephone No, <br />here r ers nature Title <br />Authorized so We <br />NEBRASKA DEPARTMENT-49F- REVENUE-- While and Canary Copies TAXPAYER - Pink Copy <br />COUNTY OFFICE - Goldenrod Copy <br />' o ate' <br />4,23248 Rev. a-ee 4uprsedet 4.232.86 Rev. <br />