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89102367
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Last modified
10/20/2011 12:14:18 AM
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10/20/2005 9:31:54 PM
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89102367
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_7L <br />1 <br />I <br />State Tax Lien <br />�rrtabgshe, Statement of Termination or <br />Vurauant to the revenue taws of the State of Nebraska, notice is hem-Ny &wen that the State Tax Lien which has ban duty <br />Bled by the Nebraska Department of Revenue against the above nalued'tampayer; is terminated, pairtially released, or subordi- <br />nated to theextent indicated below. <br />TYPE OF ACTION <br />(R TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. <br />;?Dame of party making request and responsible for tiling certificate of partial release wroit: a30ropriate tiling officer. <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. <br />Name of party making request and resp :) 5r ble for tiling certificate U AL77adinatton with appropria:q •tea , ^ "c, -. <br />1 hereby cor-,Lty that the Nebraska UeDa-'mdnt c" Revenue has cc. ,r:sed with t. -,venue laws of the State of Nebraska In the <br />determination of the tormina ?Ion, partial release or subor;,;ranan Indicated above. <br />sign lipid Taxpayers Service Specialist <br />bar ►'s i r`ture Titre <br />Date <br />i c� •..r l� i Revenue Agent Supervisor <br />Authorized Signatwe Title Date <br />FOR COUNTY OFFICIAL' S USE <br />, <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies T. =;'i= Yyn _ i %i° t< Copy COUNTY OFFICE - Goldenrod Copy <br />4- 232.68 Rev. 5.86 <br />Supersedes 4- 232.68 Rev. 1.81 <br />tR� <br />ps <br />%;er1JT1 <br />ate of Partial <br />Release or Subordination <br />Lien Serial Number <br />Document Serlat <br />DaEe or Lien <br />Social Security Number or <br />5/10/444 <br />Number <br />12607 <br />10 -10 -85 <br />Fla ='1g =` <br />~_ <br />�023�� <br />Nebraska I.D. Number <br />County <br />ten Filed With <br />[2 Register of Deeds <br />Spouses SOCIal Security <br />Number <br />[3 County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Emo. <br />Michael McCann <br />Street Address <br />Street or Other fila- ,ng Address <br />607 West 4th St <br />236 N. 6a ;gs <br />City <br />State Zip Code <br />City State =1p code <br />Grand Island <br />NE 68801 <br />Grand. Island N€ 6 1 <br />Vurauant to the revenue taws of the State of Nebraska, notice is hem-Ny &wen that the State Tax Lien which has ban duty <br />Bled by the Nebraska Department of Revenue against the above nalued'tampayer; is terminated, pairtially released, or subordi- <br />nated to theextent indicated below. <br />TYPE OF ACTION <br />(R TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. <br />;?Dame of party making request and responsible for tiling certificate of partial release wroit: a30ropriate tiling officer. <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. <br />Name of party making request and resp :) 5r ble for tiling certificate U AL77adinatton with appropria:q •tea , ^ "c, -. <br />1 hereby cor-,Lty that the Nebraska UeDa-'mdnt c" Revenue has cc. ,r:sed with t. -,venue laws of the State of Nebraska In the <br />determination of the tormina ?Ion, partial release or subor;,;ranan Indicated above. <br />sign lipid Taxpayers Service Specialist <br />bar ►'s i r`ture Titre <br />Date <br />i c� •..r l� i Revenue Agent Supervisor <br />Authorized Signatwe Title Date <br />FOR COUNTY OFFICIAL' S USE <br />, <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies T. =;'i= Yyn _ i %i° t< Copy COUNTY OFFICE - Goldenrod Copy <br />4- 232.68 Rev. 5.86 <br />Supersedes 4- 232.68 Rev. 1.81 <br />tR� <br />ps <br />
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