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■ <br />-­Stote Tax Lion <br />Sta**o of Tern ration or <br />1WN;rM_;izW" Ge"IT <br />0 of - 1W <br />13W. Kffl"" or Wommation <br />Lion Serial Number <br />Document Serial <br />Gate of Ll", <br />: <br />'Social security Number at <br />8/04/722 <br />Number <br />12925 <br />4-15-8 <br />Federal I.D. Number <br />104924 <br />Nebraska 1.-0. Number <br />County <br />Lien Flied With. <br />$Pouse's Social Security <br />5260061 <br />Hall <br />t.countis ctir} <br />Number <br />I BUSHIEW NAME AND LOCATION AVOREW. <br />TAXPAYE 0 ?MVS A—RD IWA I LWO ADDR EBB <br />Name <br />- <br />Lakeside inn <br />Teak-Corporation <br />street <br />7_ <br />la�r Other Mailing Alffaress <br />sui t <br />5, e 911 <br />V 4Ps <br />city - State Zip Code <br />'Island <br />'6890, <br />Tulsa OK 74136 <br />pairsuant to tk revenue laws of the State of "mike, notice h hereby given that the State Tax Lien which boa been dWy <br />filed by the Nebnjka Department of Revenuet , spliM the above named taxpayer, is ttrintinted, puffidy released, or subordi- <br />nated to the extent indicated below. . , <br />TYPE OF ACTION <br />Qi TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL RELEASE. The State Tax Lien Is pattlally released as follows. <br />Name of party making request and roillonSible far filing cartilleatO of partial release with appropriate filing officer. <br />❑ SUBORDINATION. The State Tax Lien is subordinated as Wows. <br />Name of party making TeqUftt a3d r(aPonsible for flun; =tiflcats of subordination with appropriate filing officer.' <br />I hereby certify trit' j►vV;,.'jWr&ska Cvxrar.ment of r%q4enue has complied with the revenue laws of the S,2&tir of Nebraska In the <br />daterminatlurt !:f the tarmlnAtlon, partial r�V ft5e or subordination indicated above. <br />N <br />A. Taxpayers Service Special ist. <br />*5 n urs Titto Des% <br />here Revenue Agent Supervisor <br />Atitl`1010041 Slgnatuf Title Data <br />V FOR COUNTY OFFICIAL'S USE <br />*ESRASKA DEPARTMENT OF REVENUE - White m-A CanaryCopies TAXPAYER -Pink Copy COUNTY OFFICE - Goldenrod Copy <br />"Z AT ACM NOTICZ (S) or 2" -LIEN (Olt- TIONMTION) IS (ARE) TD BB FILED dw WITH <br />THE RBP;*VU OLP VMS. <br />THE DOCURMT (S) ZS (AM) for To S4 F,3VAAWED To TIM (_ *TT aMM. <br />-DITSTRISM001 OF COPIES: <br />W�ZTE: TO BE VALIDATED BY THE REGISTER OF DEEDS AIM RETURNED IM THE <br />DEPARTMENT 0V 'RrVPWI-!. <br />GOLDENRODS, TO BE KM BY THE REGISTER OF DEEDS <br />BILLING IS TO BE ONCE PERIMMH AND THERE WILL BE No PRE - PAYMENT OF FEES. <br />THANK YOU FOR YOUR COOPERATION. <br />71. <br />W <br />