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State Tax Lien <br />Statel"nt Of TWO-nation or <br />W'ia.w.r+w' <br />Gertill at* OT lrAn[aw nwmeas ww .7vt�v■ w■■aa�v■■ <br />Lien Serial Number <br />Document Serial Date of Llen Social Security Number or <br />Number Federal I.D. Number <br />Se <br />1 O+ <br />o4 1 <br />8v— i 57 9 <br />Nebraska I.D. Number <br />County Lien Hied Wint Spoase`s Soria! curity <br />[}Fkdglst" of Dn°s Numbw <br />2221603 <br />Hall 0 County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAllf,� AND MAILING ADDRESS <br />pustne" Name <br />Name <br />Street Or other► <br />City <br />State Zip Code <br />City <br />,. '•` State Zip Code <br />pwwaint to the revenue laws of the State of Nebn*a. notice is hereby Oen that the State Tax Lien wttm nos oven awry, <br />rded by the Nebradcs Department of Revenue spiinst the above maned taxPayer. is terminated. partially released, or i abord'- <br />Inted to the extent it +dicated below. <br />TYPE OF ACTION <br />Z TERMINATION OF TAX LIEN. The State Tax Licit is hereby tt'14 fer"I llateJ. <br />rI PARTIAL RELEASE. The State Tax Li-m pis partially re leased as Iulluws. <br />Name of party making request and respOnSIDie far -F1 ling CertlflCate of partial release with appropriate filing officer, <br />Cl S1 BORDiNATION. The State Tax lien is subordinated as follows. <br />Name of paaly making rb6uett and r+ sCJfs fisx i'.tF ^.+;..ertNiCate of subordination. w to apt7rppr :'a.fiiL ^„ o" iixc <br />I hN+by certify triad: ti' +a Nebraska Department of Revenue'nas Compiled, witn the revenue IaKS'of the State of Nebraska In the <br />Astetnllnatlon of the tonmi+tzYtan, partial refeate or subordination Indicated above. <br />en's lure Date Q' <br />�AVthorbled Signature Title Data <br />FOR COUNTY OFFICIAL' S USE <br />NWSRASKA OEPARTMENtZ�'OF REVENUE — p4hite and Canary Copies TAXPAYER _ Pink Copy J COUNTY OFFICE •- Gultlenrod Copy <br />THE ATTXCHI96 NOTICEISl; OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITIC, <br />THE REGISTER or BEE'D'nt• <br />'S13}:• F1Ot:tllw.r.: #T' f rs l IS G—RE) NOT -0 BE FORWARDED TO THE . COWll, ' CI sT,1, <br />))18 '12ISt1°il`1(Z,- OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGIS'T'ER OF DEEDS AND ivf`TURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO. PRE— PAY110iT OI' FEES. <br />TIIANK YOU FOR YOUR COOPERATIOtt . <br />i = <br />•4 <br />I,� _" <br />