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1- <br />State Tax Lion <br />Statement of Termination of <br />"441W cerlITicate <br />OT 106"181 <br />1MOM>f9 Ur auuvratnet1tvn <br />�...W�.� <br />t itn SNrial Number <br />oocument serial <br />Date of Lien <br />social Security Number or <br />Nornutr <br />1 -8 86 <br />'� <br />Federa LD. N n be► <br />06- 2 <br />6/01/832 <br />12915 <br />-A <br />.�aft.., <br />103867 <br />NebrAka� IN. Number <br />County <br />Lion Filed With <br />Dead* <br />spouse's Social $*Curtly <br />Number <br />4616285 <br />Hall <br />(I CoumY C.tgyk <br />"M ATlt'At.RM MO?ICS OF STATE TAIL LIEN TERMINATION S110 -ULD BE FILM WITH BOTit THE REGISTER <br />MlalNIM NAME AND LOCATION <br />ADDREU <br />TAXPAYER NAME AND MAILING ADORN111 <br />Hu 1dIMa f4#Ar* <br />3efferson Repair <br />7112 MISS OP DEEDS IS RWUF.STED TO FORWARD THE DOCUvxtxTS TO THE COUNTY CL €RR. <br />Name <br />Greg Onnen <br />stmet ANdrmf . <br />Street or Other Mailing Ad raft <br />1 <br />346 North Jefferson <br />113 Center Lane <br />City State <br />Grand Island NE <br />210 Code <br />68801 <br />City state Zip Coda <br />Alda" NE 68810 <br />Fwwn At to the rerewue laws of the State of Nebeadu, notice b hereby given that do State Tax Lien whits hu been duly <br />9W by the Nebraska Department of Revenue opium the above named taxpayer, is tes aWted, Psati MY released, or srbordi- <br />m cad to the extent indicated below. <br />TYPE OF ACTION <br />W 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 />i <br />Name Of ;party making request and responsible for filing Certificate Of i7iti -vai reteate with appropriate Ming officer. - <br />❑ SUBORDINATION. The State Tax Lien is subordinateds'fii5tows. <br />7 <br />r <br />Name of party maklnQre4ue41 Inc! responSible for filing certificate of subordlnatlaf4 allC ell appropriate filing officer. <br />1 hereby Certify that the Nebraska Department or Revenue hat Compiled with the revenue laws of the State of Nebraska in the <br />determination of the termination. partial release of subo,�3^Lt•'3n fnd;cattd above. , <br />• t • <br />Taxpayers .Service Specialist <br />Title - .• Data <br />Revenue k4A Supervisor ; :' .•. 2G 45 <br />i A i C" Slgmture Data <br />FOR COUNTY CF44CIIAI: S USE <br />NEBRASKA DEPARTMENT OF REVENUE -- White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy <br />4.2324: Rev. 5.66 <br />Superseoes4- 232.6a Rev. 1 -AI <br />"M ATlt'At.RM MO?ICS OF STATE TAIL LIEN TERMINATION S110 -ULD BE FILM WITH BOTit THE REGISTER <br />Or VMS AND THE COtWy CLERIC. THIS IS TO TEMINATE THE LIEN(S) FILED PRIOR TO JULY 17, 1966 <br />WITS IS!!H O"ICES. <br />7112 MISS OP DEEDS IS RWUF.STED TO FORWARD THE DOCUvxtxTS TO THE COUNTY CL €RR. <br />L150ISZIIIm"10" OF COPIESs <br />WHITE: 70 BE VALIDATED By 80111 THE REGISTER OF DEEDS A14D THE COUNTY CLERK <br />AND 1lMRNED TO THE NEBPASRA DEPARTMENT OF RF.10411E. <br />CANARY TO BE KEPT BY tr1E RE,GISTEP OF DEEDS. <br />GOLDENII! Mi TO HE KEPT HY THE COO -NTY CLERX. <br />' <br />A 4 <br />7trfP'.' IS NO FEE ?`O PE CHAWSFI) InR A 'irPMINATIB'I 11".)TICE, s <br />114RNK Y!t!t cr,n wy,v w~rtrsr�un'1',r.+, <br />