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07/03/2001 09:29 FAX 14024714429 NEBRASKA UCC <br />h }� I <br />V <br />200106539 <br />[a00s; 006 <br />te Tax Lien Statement of Termination <br />Or m�� or Certificate of Partial Release or <br />eob.Kke Subordination <br />depertmwit <br />or nwnue PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws or the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed 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 />I.D. Number I Spouse's Social Security Nurntrer <br />Nebraska ltienuneaoon numoer <br />38442574 22 573 -98 5755_ 51� -9Z X165 <br />Lien Serial Number Lien Filed With Date o+ Uen County <br />7/02'/33B RegieterofDeeds ❑oountyclerk 03/03/1997 Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Diornlan L &Tina Isbell <br />StreetAodress Streetor other Maiing Adorers <br />Box 461 <br />City State Zip Coda City State Zip Coda <br />Shoshorse, ID 83352 <br />- TYPE OF ACTION <br />RMINATION O TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 — 101769 <br />T . EAR5 rporate, Individual income, and withholding tax only) 1994 <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 />❑ SUBORDINATION. The State Tax Lkn is subordinated as follows, INSTRUMENT NUMBER <br />1 <br />f <br />I <br />ii <br />please forward to: <br />Nebraska Department of Revenue I <br />4500 Ave 1 PO Box 1500 7— <br />Scottsbluff NE 69363 -1500 - <br />Name of parry mating request and respobAkng certificate of partial release or subordination with appropria'efiiing officer. -- <br />I hereoy certify that the Nebraska Department of Revenue has compiled with the revenue laws of the Stare of Nebraska in the determination of the <br />termination, aRial release, or subordination indicated above. <br />sign I o <br />here Revenue Amt: Date T- �- .� ->2s' <br />S' re G' <br />venue Stipr'rvisor <br />t u <br />`oP o zed igtta e <br />TGIe <br />TAXPAYER - Pink Ccpy COUNTY OFFICE Goldenrod Copy <br />NE SKA DEPARTMENT OF REVENUE - White and Canary Copley 4.294.69 Rev. 8-96 SupGrseaen 4- 232 -88 11 n- .ass <br />