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05%22/2001 15:13 FAX 14024714429 <br />NEBRASKA UCC <br />Or -- <br />�. <br />nebrnks <br />of mv <br />W nwanue w <br />_a Q04, 005 <br />Il111111111! IIIII IIIII 11111 IN IN <br />9901151229 PCs 1 <br />WILLIAM5 DANA R <br />Fled: 06/2212001 32:30 PM % <br />200106159 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TE:R141HATION STATE TAX LIEN' <br />DIVID L INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNTr REFER TO THESE'NUMBERS: <br />SOC. SEC. NOe 506982166 <br />NEBR. IDENT. NO. 36900292 <br />SPOUSE SOC. SEC. , NO* <br />TAXABLE YEAR 1997 DANA R WILLIAMS <br />LIEN NO. 982050205 6635 S STAPLES 724 <br />LIEN. RELEASE N0. 022641013 CORPUS CHRISTI TX 78413 <br />COUNTY lul <br />DATE OF NOTICE 06/12%2001 <br />INSTRUMENT HO. U• � � . b$ggr116`�33 <br />PURSUANT Tfl_THE'R EVENUE -LAMS OF TH . OF NEBRASKA* NOTICE IS <br />HEREBY GIVEN`BY THE NEBRASKA ;;DEPARTMENT OF:REVENUE THAT THE <br />STAT# TAX LIEN'WHICH�HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME.TAXES IS TERMINATED. <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT CF .REVENUE HAS'COMPLIED <br />WITH THE REVENUE. LAMS ©F THE STATE OF NEBRASKA- 2N"THE. DETERMINATION OF. <br />THIS TERMINATION• <br />;Oases E ARER SIG URE TITLE DATE <br />... 000 0 04000461006 ..... • �2. . / . .. . <br />AUTHORIZED SIGNATURE TITLE D T� <br />Please forward to: I <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 ENT OF REVENUE —White and Canary Copies <br />Scottsbluff NlE 69363 -1500 <br />TAXPAYER —Pink Copy <br />7.145.1979 Ray. 2.2000 SuPsmades 7.145 -1979 Rev. 10.1995 <br />