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i <br />F <br />State Tax Lien <br />6RwKwoment <br />oT Termination or <br />'a, Certificate of Partial <br />Release or Subordination <br />Lien Serial Number <br />Document Serial <br />Number <br />Date of Lion <br />Social Security Number or <br />6/01/833 <br />12918 <br />1 -8 -86 <br />Federal I.D. Number��� <br />485 -68 -7772 <br />�v ����� <br />Nebraska 1.0. Number <br />County <br />Lien Filed With <br />� Register Deeds <br />spouse's, Social Security <br />NumWr <br />4515285 <br />Ha11 <br />of <br />rj County Clark <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS; <br />Business Nan a <br />Jefferson Repair <br />Name <br />Dennis M. Onnen <br />Street ^der*" <br />346 North Jefferson <br />Street or Other Malling Adereas <br />346 North Jefferson <br />City State <br />Grand Island NE <br />zip Code <br />68801 <br />City State Zip Code <br />Grand Island NE 68801 <br />hir;rlesat to the revenue lawss of the State of Nebraska, notiiee is hereby given that the State Tax Idea wbM has been duty <br />OW by the Nebeluka Department of Revenue apiast tbie above named taxes W., Eq terminated, parda ft rekaed, or anbordi. <br />noted to tke extent indicted below. <br />TYPE OF ACTION <br />® TERMI•NATIOIMOF TAX LIEN. The State Tax Licrivjghet=E -by fully terminated. <br />❑ PARTIAL RELtAN. The State Tax Lien is partially released as follows. <br />Name of Party Makin y • 1 <br />t �iMit and responsible for flJln, F<rrtJ /IW.h nt Partial release with appropriate filing offlivrr•„ <br />❑ SUBORDINATION. The State Tax Lien is tAcidtnatod as f'vllows. <br />name OT parry maKlny request and responsible for filing Certificate of subordination with appropriate filing officer. <br />• 1 hweby' Otr'tify that the Nebraska Department of Revenue has comblleo with the revenue laws, of the Ststo of Nebraska In the <br />determinatloil Wf the termination, partial MR43e or subordination Indicated above. ' <br />Taxpayers Seiw+t <br />��e. Is . pecial ist �,�� <br />'s 5 n TR1a�— r <br />hers Date <br />R- gvenue AgMt Supei�lrisor <br />r4stt Ized Signature Title <br />Date <br />FOR COUNTY OFFICL*1V S USE " <br />NEDRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Gokkienrroyd CooPv .t <br />.�.. ,r., ..-- ____Yw.....• �. ..• ... ... vy: .. ._... .. r.'T.ftiw.w • .. . ern. �. v.... .rvl..i..f.L'.1'Vf.[.Y'.lM[`1i C.�i�1tF,t��• � -"['i <br />TItL ATTACHED NVnCE OF STATE TAX LIEN TERMINATION SHOULD BE FILED WITH BOTH THE REGISTER <br />OF DMS AM THE COUNTY CLERK. THIS IS TO TEMNATE VIE LIEN(S) FILED PRIOR TO JULY 17, 1986 <br />WITH !1m O"ICES. <br />THE REGISTER OF DEEDS IS REQUESTED TO FORWARD THE DOCUMVITS TO THE COUNTY CLERK. <br />LAST IRMON OF COPIES: <br />1MI?E: TO HE VALIDATED 8Y BOTH THE REGISTER OF DEEDS MID THE COUNTY CLERK <br />MD P=RNED TO THE NEBRASM DEPARTMENT OF REVENUE'. <br />CANARYt TO BE KEPT BY THE REGISTER OF DEEMS. <br />GOLDENROD: TO BE KEPT BY THE COUNTY CLERK. <br />TIMP.T IS NO FEE TO BE CIIAMED FOR A TF.P.M1VATI0!I ! tYrICE. � <br />JILV4K Yrift VC-P VrA;fq rrYtpc'uf►rorrrt <br />L <br />i <br />t <br />�• f <br />