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r <br />I <br />I <br />" r <br />z <br />l <br />brnub..�11- <br />I <br />State Tax Lien <br />Statement of Termination or <br />'11111111111110-ri- <br />certm <br />ate of Partial <br />Release or Subordination <br />Lien Serial Number <br />Document Serial <br />Date of Lien <br />50041 Security Number qr <br />90082044 <br />Number <br />14721 <br />5 -21 -90 <br />f aoeral I.D. Number <br />_ 94 <br />V V <br />Nebraska I.D. Number <br />Couilty <br />isn Frteo With <br />Reylstar of Deeds <br />spouse's Social security <br />Number <br />33585105 <br />Nall <br />Couhty Clerk <br />505 -54 -3310 <br />/USINEW NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />ausiness Nama <br />Name <br />Alan C. 6 Connie 0. Bosselman <br />street Address <br />Street or Other Mailing Address <br />1404 North Park <br />City <br />state zip Code <br />City State Zip Code <br />Grand Island NE 68603 <br />Frrrsuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly <br />feed by the Nebratks Department of Revenue spinst the above named taxpayer, is tertniiistedr p raft feleated, or subordi. <br />noted to the extent indicated below. <br />TYPE OF ACTION <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />Tax Yearr 19AS & 1987 Instrument Number 90- 103007 <br />❑ PARTIAL RELEASE. The State Tax Lien Is partially released as follows. <br />Name of party making request anp• .tuoollsible for filing certificate of partial release with appropriate filing officer. <br />❑ SUBORDINATION. The State Tax Ller, ;s s bordinated as follow%. <br />081116 of patty making request anti responsible for filing Certificate of subordination with appropriate filing offlCer. <br />1 hereby ceriity that the Nebraska Department of Revenue has eomplka ,mI:h the revenue laws of the State of Nebraska In the <br />d.tarminancin of the toReritilatlon, partial release or subordination indicated above. <br />e vi <br />Sion TaXDavers Service Specialist �Q�U <br />$ afar Title <br />Data <br />Revenue Agent Supervisor /G- A--9',o <br />Au Signatu Title Date <br />FOR COUNTY OFFICIAL' S USE <br />THE ATTV1 M WT , (S) OF TAX LIEN (OAT lIH>1TIt�i) IS (ARE) TO BE FILED ONLY NI'f'!i _ <br />151i MG16tu tr,•`LhEa&I,1B. 10 <br />! THE DOGtII+!l6t r(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLEM. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY ME REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF RLNFXVUE. <br />GOLDENROD: TO BE KEPT BY THE REGISTEER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE— PAYMENT OF FEES. <br />L <br />THMK YOU FOR YOUR COOPERATION. <br />NEBRASKA DEPARTMENT OF REVENUE - White tend Canary Copier TAXPAYER - Pink Copy COUNTY OFFICE - GoIdenrod Coov <br />4.23248 Rev. 5.06 <br />Supertaoe14.212411 Rey. 1.01 <br />U <br />El <br />7 <br />j l <br />atlt�• <br />Y <br />Q <br />h <br />EI <br />