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I State Tax Lien Statement of Termination or Pu>< mt to the revenue laws of the State of Nebraska, notice is hereby gitvew that the State Tax Lien wnten Has oven aauy fled by the Nebra&a Department of Revenue against the above named taxpayer, is terminated, partially released, or subordi- mted to the extant indii:ated below. TYPE OF ACTION • YERMINATiON OF TAX t ;ZN. The State Tax Lien is hereby fully terminated. 414RT1AL RELEASE-.t40-State Tax Lien is partially released as follows. 1,5 a' v of party making request an111WOOns1bte for filing certincriJi of partial release with apyr3griato filing otticer. ❑ SUBORDINATION. The State Tax U�'z> is subordinated as follows. Naatre of party maklny reQUest and re'sponsible:!^Crr ?'lllng certificate of Subordination With appmpriato feint o;ficcr. 1 hereby certify ^.at the Nebraska Deparn •font of Revenue has eompiled•With ttto ravenuo 14WS Of the 5�ate of N3ZrasK3 rn the determination of thp-,Ex- :nation, partial release or subordination Indicated above. sign 29X t Zff- V Authorized Signature TRIO V Date( FOR COUNTY OFFICIAL' $ USE �� 811lC'?1 CCUfi C%CXra ! I.IHII ) r NEBRAM DEPARMICZNT OF REVENUE — White and Canary Copies TAXPAYER — AinK Copy CUUhTV OFFICE — Guldenrafl Coriv 4.232 66 Rev. 5•E6 ATTACHED NOTICE (S) OF STATE TA.X. LIEN (OR Dj$CF.A?GE) IS (ARE) TO BE FILED WITH BOTH THE REGISTER OF DEEDS AND THE CIJUNTY CLEX<. THE REGISTER OF D=DS IS PXQUESTED TO FORWARD THE DOCL79L MS TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY BOTH THE REGISTER OF DEEDS AND THE COU14TY CLERK AND RETURNED TO THE NEBRASKA DEPARTMENT OF REVENUE. CANARY: TO BE KEPT BY THE REGISTER OF DEEDS. GOLDENROD: TO BE KEPT BY THE COUNTY CLERK. THAtiK YOU FOR YOUR COOPERATION. 4` '' s i 1 M1 :y I GeriiTI ace OT raRlag nvmaaw %W .�.+wvs�,..as~.�+•• Lien Serial Number Document Serial Date of lWen social Number or Number Federal I.D. Number 1-11-217 11 %Qfi-4fi-2fi92 t len Flied L41th spouse's Social Security �y 'ice 101359 Nabraska I.D. Number County LjRegtstfr of Deeds Number 39216 3 Hall County Clark BUSINESS NAME AKO LOCATION ADDRESS TAXPAYER-NAME AND MAILING ADDRESS Btsslness Name Name eft Strest Matting Address Street Address City State Zip Coda city State Zip Code Pu>< mt to the revenue laws of the State of Nebraska, notice is hereby gitvew that the State Tax Lien wnten Has oven aauy fled by the Nebra&a Department of Revenue against the above named taxpayer, is terminated, partially released, or subordi- mted to the extant indii:ated below. TYPE OF ACTION • YERMINATiON OF TAX t ;ZN. The State Tax Lien is hereby fully terminated. 414RT1AL RELEASE-.t40-State Tax Lien is partially released as follows. 1,5 a' v of party making request an111WOOns1bte for filing certincriJi of partial release with apyr3griato filing otticer. ❑ SUBORDINATION. The State Tax U�'z> is subordinated as follows. Naatre of party maklny reQUest and re'sponsible:!^Crr ?'lllng certificate of Subordination With appmpriato feint o;ficcr. 1 hereby certify ^.at the Nebraska Deparn •font of Revenue has eompiled•With ttto ravenuo 14WS Of the 5�ate of N3ZrasK3 rn the determination of thp-,Ex- :nation, partial release or subordination Indicated above. sign 29X t Zff- V Authorized Signature TRIO V Date( FOR COUNTY OFFICIAL' $ USE �� 811lC'?1 CCUfi C%CXra ! I.IHII ) r NEBRAM DEPARMICZNT OF REVENUE — White and Canary Copies TAXPAYER — AinK Copy CUUhTV OFFICE — Guldenrafl Coriv 4.232 66 Rev. 5•E6 ATTACHED NOTICE (S) OF STATE TA.X. LIEN (OR Dj$CF.A?GE) IS (ARE) TO BE FILED WITH BOTH THE REGISTER OF DEEDS AND THE CIJUNTY CLEX<. THE REGISTER OF D=DS IS PXQUESTED TO FORWARD THE DOCL79L MS TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY BOTH THE REGISTER OF DEEDS AND THE COU14TY CLERK AND RETURNED TO THE NEBRASKA DEPARTMENT OF REVENUE. CANARY: TO BE KEPT BY THE REGISTER OF DEEDS. GOLDENROD: TO BE KEPT BY THE COUNTY CLERK. THAtiK YOU FOR YOUR COOPERATION. 4` '' s i 1 M1 :y I