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<br />State Tax Lion
<br />��pNtrleh.aTlla Statement of Termination or
<br />a
<br />mr Certificate of Partial Release or Subordination
<br />of twtnu
<br />t-mn Se•1al Nun,he,�— -I ll .,me it `, :•r ,Jt I'.1 • - -- 01 • ..,,h Nu 1qr(., ..r
<br />Nu'•1l'er f c.mrJ11 11 P:umhm
<br />9J05�142 _ 12 726 _5 -9 -89 505 -42 -4146 89,1026
<br />N/±Masia I-D. Nurnt,rr t 1.1ct% t 1 A :'.1111 Spa )C s C1111CC Unit
<br />40fi0105 Hall l♦; Roalster.•ttlerds Numuor
<br />_ , •, ,, 5.05 -8Q -1731
<br />BUSINESS NAME AND LOCATION ADDRESS � TAXPAYER NAME AND MAILING ADDRESS
<br />Hismr,ess NamO Name
<br />Jerry G. & Patricia J. Qimmitt
<br />Street Address �,trrct :•r 01 ^cr NNatlinq Ad.6.r,,%
<br />P.0, Box 17310
<br />Ctry State : 1`J l .1.1(! C.11 Start cirri ;erode
<br />Al da,, NE 68510
<br />Pursmao to the revenue laws off Ow State of Nchra.l.a, w4ke is hereby given that t(h- State Tex Lien w'hieb has been duly
<br />filed 'by the Nebraska Department of Rewnue against the ahiis« named taxpayer, is terminated. partially released. or subordi-
<br />nated to the extent indicated below
<br />TYPE. ACTIONS
<br />TERMINATION OF TAX LIEN. Dx Mate 1.1% 1 1t -1, I, hcn h1 lull, 1:rnnn ::h.I.
<br />PARTIAL RELEASE. I h. fit.,:: I.,\ L1rn,, 1'.1111.111% .,• I111:tlw .
<br />�.." ° ?' t•ar:y mal,lnq rt'4"cs! � ,,. �c(1�. .. ..•( � + 1.11 •!�f, ., s.: ..�____."+
<br />SWORDINATION. Vic SL4tt: I a\ I it'll ;. ,1111.
<br />Nj-e (11 PJTtY tndRirltf ,t'UUt•)1 O i� -' '" � �' • -� • _ ,,, •i 1. .a 1.111 U•11.tT1, 1,1.'1(. 11111[,:
<br />s!gn
<br />heird
<br />hereby Ccr•NV 11,31 the ! Jel')r•! '•a.- �,dvSr ;.£ • L'. , ,•'vireo :,rl'• t+,^ r£YCnuc IJ.a C' ,'u Stdte of Nebraska In the ,
<br />d£tv7— :1J!11,n -1 •••c tl ....... all .. r•.J1 .+'1,•tt x• . •'(' 'i'�fr..'. .t• .t . rl ,1 r, �i ,
<br />Taxpayers Service Specialist
<br />S
<br />anted 5.pn.1tu•t
<br />r ,ne Date
<br />Revenue Agent Supervisor S C/ -d*
<br />T . :r Date
<br />FOR COUNTY OFFICIAL'S USE
<br />NEBRASKA DEPART41ENTOF REVENUE -- -, - T4.X�', L;4 p-,: Cr„r C(3o%,TYU «1•ICE ,i,t•b.•n,r34;r.ux��_
<br />THE ATTACHED HOTICE(S) OF TAX LIEN (OR TERMINATION) TS (ARE) TO HE FILED ONLY WITH
<br />THE REGISTER OF DEEDS.
<br />THE DOCUMENT (S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLFP.K.
<br />DISTRIBUTION OF COPIES:
<br />WHITE: TO SE -JALIDATED BY THE REGISTER OF DEEDS AND REII)RHED TO THE
<br />DF.PARTNIE:UT nF REVENUE.
<br />(;UL &UPOD: TO RF KEPT BY 'iHP REGISTER OF DEEDS.
<br />BOILING IS TO BE !!N.:F 11F:It 1-1011i'H Atli) TIIFRE WILT. BE W) T,PF:- 1-AYMF`WV 1-1
<br />'SItC!! ;Y Will Frtp Ynitp r'rTrtF'F:1'h1'tr Tl.
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