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r. <br />7 <br />State 'Tax Lien <br />Statement of Termination or <br />-Ilot�r««lu:' GdlfU1lCate <br />oT Partial <br />Release or Suboramatlorl <br />Lien Serial Number <br />Oucument Serial <br />Dale, of Lien <br />Social Security Numher or <br />6/01/830 <br />�` ' D <br />1 -8 -86 <br />1,499 -1 � -M, <br />Nebrash\ 1.0, Number <br />County <br />ashn Flied With <br />Spousal$ Social Security <br />451585 <br />Hall <br />�J Re9lster of Deeds <br />V County Clark <br />Number <br />BUSINESS NAME AND LOCATION <br />ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Jefferson Repair <br />Dennis M. Onnen <br />Street Address <br />Street or Other Mailing ^Odlesis <br />346 North Jefferson <br />346 North Jefferson <br />city State <br />zip code <br />City state zip code <br />1 <br />Grand Island NE <br />68801 <br />Grand Island NE 68801 <br />Pursuant to the revenue laws of the State of Nebraska. notice b hereby given that the State Tax Lien which hall been duty <br />Filed by the Nebraska Department of Revenue against the above nansed taxpayer, is terminated, partially relemed, or subordi- <br />nated to the extent indicated below. <br />TYPE OF ACTWIN <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully tent d. <br />❑ PARTIAL RELEASE. The. State Tax Lien is partially released as follows. <br />Name of party making request and respccNw" for filing certificate of pineal release with appropriate filing officer. <br />❑ SUBORDINATION.'The State Tax Lien is subordinated as follows. <br />r. <br />Name of party making request and responsible for filing certificate of subordination with appropriate filing officer. <br />1 hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the <br />determination of the termination, partial release or subominatinn Inttltated above. <br />=1 11 Taxpayers Service Spa ialigt <br />'s S at re Title Date <br />Rgygnue Agent Supervisor %� nN <br />Author ad419nature Titflt Date <br />>< FOR COUNTY OFFICIAL' S USE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canty Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy <br />4- 232.68 Rev. 5.86 <br />:"E. $garseaes 432.68 Rev. 3.81 <br />- r <br />'lilt A2l110= NOTICE OF STATS TAX LIM TERMINATION SHOULD BE' Eb WITH BOTH THE LISTER ' <br />OF DEEDS AND THE COUNTY CLERK. THIS IS TO TERMINATE THE 1,146t(S) FILED PAI.OR TO JULY 17, 1986 <br />WITH SIM O"ICES. <br />THE REGISTER OF DEEDS IS REQUESTED TO FORWARD THE DOCUMENTS TO THE COUNTY CLERK. <br />LDISTRIMMON OF COPIES: <br />MUTE: TO BE VALIDATED BY BOM THE REGISTER OF DEEDS AND THE COUNTY CLERK <br />AND PZMRNED TO THE NEBRASKA DEPARTMEIT OF REVENUE. <br />CANARY-. TO BE KEPT BY THE REGISTER OF DEEDS. , <br />GOLDENRUU: TO BE KEPT BY 711E COUNTY CLERK. <br />711FRE IS NO FEE TO 8E CHARGED FOR A TERMINATION NOTICE. 1 <br />THANK YO" FOR YfWIR [''I'X VIFRH9'tnrf <br />