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r <br />4 <br />State Tax Lien <br />Statement of Termination or <br />mvw <br />Utmilcuo <br />OT Pa mial <br />He1e4159 or OUOOralnciilvn <br />Lien set tat Number <br />00GUm4nt $vital <br />Oat* of Wen <br />$atlas Sociality Number or <br />9/01/726 <br />Nunlwf <br />12609 <br />1 -16 -89 <br />F'-cttat I.D. ( Vumber <br />194 -38 -7690 <br />$9„1 p2533 <br />1"bfA01A I.Q. Number <br />County <br />tan 1=1t. W stn <br />Repltter of DM01 <br />Spouse'sscKlat Security <br />Number <br />5549639 <br />tt <br />"M <br />County Cierk <br />IWHNEitt <br />NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />masinete Name <br />Name <br />Jesse A. French, Jr. <br />Sir"/ Addr*a <br />street or Other Mailing Addron <br />Box 64 <br />ctty <br />State ZIP Code <br />City State zip Code <br />Grand Island NE 68802 <br />Peuswnt to the revenue taws of the State of Nebauka. notice h hereby *en that the State Tax Lien wbkh has been dray <br />tiled by the Nebrasha Department of Revenue apkat the above named taxpayer. is terminated, partially released, or anbordi- <br />now to the tits at iadkated blow. <br />TWE fIQP ACTION A. <br />31 TERMINATION OF TAIL LIEN. The State Tax Lien is hemby fully ".erninated. <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as folluws. <br />Name of party making •*quest and respnnuble fnr fiil++gfm.- t.ticate of part+al rEteaSe N +[h approp {late filing ofllcar. - <br />❑ SUSORDINATION. The State Tax Lien is subordinated as follows. <br />Name of party making reauast and ro6rontibte tot filing certificate rlf.krbmdinatlon with approprlata filing OffiCer. <br />1 hara4ift Milly that tn* NeD►atk@ 1jv17a1tlnent of. 17*vonue has ct!Qriplkid with in* revenue Wos,of the State of Nebraska In the <br />oatetminatloA Of the torminatlnn, Ponta! ttimse or subordination incticrtlGa, above. <br />N, r <br />i7 <br />0 <br />,i <br />Taxers Service Specialist <br />it Date <br />Rfvenue Agent Sugrvfsor <br />Tit!* Date <br />' - - - FOtr CtliJM" OFFWJAC S USE l 1 <br />. INDRASKA DEPAAj•MENT OF REVENUE - Wit' gn0 Rory Copies TAXPAYER - Pint. Copy . COUNTY JFFICE — OcUU -4od Copy <br />'9 A'Y!'Ai14 Ef1m IMITICE(S) OF TAX LIEN .(OR CATION) IS (ARE) TO BE FILED ONLY VITH <br />'loft: MEGYSTER OF DEEDS. <br />TM DOCINUM(S) IS (ARE) NOT TO 8Er FONARDED 10 THY'] COUNTY. CLERK. <br />DISTRIBUTICM OF COPIES: <br />WIITEt TO BE VAUDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTb0EW n' Qx'VF'Nll -. <br />(CPI..DEtiROD: TO 88.)WT BV THE REGISTER OF DEEDS <br />8II.LIOG IS TO BE ONCE PER MOTMI AND THERE WILL BE 110 PRF.-PAYMENT OF FEES. <br />THANK YOU FOR YOUR COOPERATION. <br />t <br />,r'. <br />