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r �[dlitart'm�inf 1 State Tax Lien Statement of TerrNnatton or d►�ra:aiwakae as Dsra m� ns Qatiiimami,, Aar CniRnra(instinn 'CIV State 41P Uccle n �...� CRt NE 68827 Pursuant to the revenue laws of the State of Nebrsdw,, gitta, that the State Tax Lien v61lkh has been duty died by the Nebraska Deputment of Revenue against: flits is terminated, pastrz4iy ave3sed,.vr s>abordi- ' nated to the extent indicated below: T1FLrC tYr ACTION *X EAMINATION OF TAX LIEN. The State Tax Lien is.hia'f:Uy fully terminated, ❑ PARTIAL RELEASE. The State Tax Lien is partially TOcased ar, Iallr,��a j. Nae±eo "party making request and responsible for tillfq rttrfditoto cf:nertia; reienita Mt r: appropriate filing officer. , tJ SUBORDINATION. The State Tax Lien is subordinated as follows. Name of party making request and responsible for filing certificate ;f subormitsmcin witn appropriate filing officer. A' a hereby cortity that the Nebraska oapartmeart of Revenue has comptlbtl with the revenue laws of the State of Nebraska In the determination of the termination, partial rotease or iw- y ^srnatlon indicated above. Ssign � Taxpayers Service Specialist --Fw z r pare►' nature rlt;e date h.8F Revenue Agent Supervisor Authorized signature, , Title Date FOR COUNTY OFFICIAU S USE .r.. NEBRASKA DEPAp7h1EN't OF REVENUE -- White and Canary Copies TAXPAYERS - Pink Copy COUti7Y OFFICE Oc klenrud Copy 3. 232 -66 Rev. S -GG - THS A=W= 00210E(8) OF TAX LIEN (OR TERMINATION) IS (ARE) TO HE FILED ONLY WITH TIM A>OGISTMIt OF DEEDS. THE DOCt1MENTtS) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: I WRITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. fps BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE— PAYMEtIT OF FEES. r 770M YOU FOR YOUR COOPERATION. IF, k With Serial Number Document Serial Number Data of Lien Social Se:urlt!r twumber or Fedor 11.1.0. Number B9-10:1250 9/01/684 12404 1 -17 -89 ..g »g- 69 Nebraska I.D. Number County Lien Filed With SROU96% social Sfcurit!'.- &j Register of Deed$ Numbbt. Hall (tall ❑ County Clerk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Janice. Mincher Street Address Strttet 0r.0titar1 MY7Nng Address 'CIV State 41P Uccle n �...� CRt NE 68827 Pursuant to the revenue laws of the State of Nebrsdw,, gitta, that the State Tax Lien v61lkh has been duty died by the Nebraska Deputment of Revenue against: flits is terminated, pastrz4iy ave3sed,.vr s>abordi- ' nated to the extent indicated below: T1FLrC tYr ACTION *X EAMINATION OF TAX LIEN. The State Tax Lien is.hia'f:Uy fully terminated, ❑ PARTIAL RELEASE. The State Tax Lien is partially TOcased ar, Iallr,��a j. Nae±eo "party making request and responsible for tillfq rttrfditoto cf:nertia; reienita Mt r: appropriate filing officer. , tJ SUBORDINATION. The State Tax Lien is subordinated as follows. Name of party making request and responsible for filing certificate ;f subormitsmcin witn appropriate filing officer. A' a hereby cortity that the Nebraska oapartmeart of Revenue has comptlbtl with the revenue laws of the State of Nebraska In the determination of the termination, partial rotease or iw- y ^srnatlon indicated above. Ssign � Taxpayers Service Specialist --Fw z r pare►' nature rlt;e date h.8F Revenue Agent Supervisor Authorized signature, , Title Date FOR COUNTY OFFICIAU S USE .r.. NEBRASKA DEPAp7h1EN't OF REVENUE -- White and Canary Copies TAXPAYERS - Pink Copy COUti7Y OFFICE Oc klenrud Copy 3. 232 -66 Rev. S -GG - THS A=W= 00210E(8) OF TAX LIEN (OR TERMINATION) IS (ARE) TO HE FILED ONLY WITH TIM A>OGISTMIt OF DEEDS. THE DOCt1MENTtS) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: I WRITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. fps BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE— PAYMEtIT OF FEES. r 770M YOU FOR YOUR COOPERATION. IF, k