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r <br />brAdwieko <br />State Tax Lien <br />Statennnt of Termination or <br />10§7'ree =, <br />Ge"111 <br />ate OT rental, K610030 OF owwwwwMasvaa <br />Lien Serial Number <br />Documapt erial <br />Date of Lton Scielal Security Number or <br />9/02/841 <br />rViVj5 <br />2- 13 -89, F� =' =u ° ? <br />t �,-- <br />101EI79 <br />Nebraska LE), Number <br />County <br />Lien Filed With Spauso's Social Security <br />to Regi}ter of Coeds Nhfpi)er <br />1972141 <br />1 Hal 1 <br />❑ County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />mirror <br />h.. R.- <br />Ba,asch <br />Street Address <br />Street or Other Mailing Address <br />City <br />State Zip Code <br />City <br />State <br />Zip Code <br />Grand_-Island, <br />NE <br />68801 <br />Ptusuant to the revenue bws of ft State of Nebraska. notice is hereby given that the State Tax Lien which has beea duly. <br />filed by the Nebm*a Departnii *- df Revenue against the above named. ta:%Payer. is terminated, Partially released, or subnrtli.;- <br />nated to the exA*a 0dicated Wr- <br />T'(TE or- ACT16)t0 <br />,il TkRMIfiI+A'TkON OF TAX LIEN, 'Fax Lien is hercbt °:E 4, terminated. <br />` <br />­3 PARTIAL RELEASi the State FaY t,it=n`.i �. �.ially released as follows. <br />Name of party making re waest and responsigle for filing certificate. of pmt$% i _rerease witti appropriata tiling officer. <br />❑ SUBORiDrN. AT1ON. The Statc'rw. -,! , ?en is _C:tatad as�,rNa Nvs. <br />Name or party making rcL". 1, and responsible for filing eertriicate of auinxUinatiurl.wltil apuiopriatee filing ofliecr. <br />. t nerd'aq.'Certlfy that the Nebraska Department of Revenue has Compiled with tno revenue laws, of the State at Nebraska in the <br />dtf^4irrs.( 3YICn of the torminatlon, partial releas° or subordinatinn inaicated above. <br />sol g <br />h er's S <br />Authorizeo <br />Taxpayers Service xre. %. a a <br />Tino Date <br />Revenue Agent Supervisor - 49.1 <br />TWO Date <br />FOR COUNTY OFPiC1AI S USE <br />NEERASKA DEPARThtENTOF REVENUE - White and Canary Copies TAXPAYER .- Phil: COPY COUNTY OFF ICE Gol'ltlitrO Cony <br />THE ATTACH03 NOTICES) OF TAX LIED (OR TEEiflINATIO14 TS (ARE) TO BE FILED ONLY WITH <br />AE MIS'tRAN OF DEEDS. <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO TiiE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO 13E VALIDATED BY THE REGIS'T'ER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />COLDE14ROD: TO BE E'.EPT BY VIE REGISTER OF DEEDS. <br />PILLING IS TO BE ONCE PER MONT" AND THERE WILt, PE NO rP1"— r-AVMr -NT OF FrTS. <br />THANK YOU FOR YOUP t"VEaRATION, <br />E <br />s <br />r <br />J <br />