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Pct omt to tilt tevenlle laws of the Stmt aV ilrA!M*&, notice is hereby Liven that the State Tax Lien which has been duly f5W by the Nebmko Department of Revenue the above named taxpayer, is terminated, partW released, or subor& mkd to the extent iadkated below. TYPE OF ACTION TERMINATION OF TAX LIEN.'. The State Tax,Lien is hereby fully terminated. ❑ PARTIAL RELEASE. The State TwLWatt is ptuftily released as follows. Name of party making req zest and resFnnsible for filing certificate of partial release with approprZaie filing officer. ❑ SUBORDINATION. The State Tiiy 'Lien is subordinated as follows. Name of party making request and ress.::stble for filing certificate c "tulzordination with appropria:a filing officer. 7'; I hereby cftrtify tact; tte Nebraska Ce:art'ment c' ", avenue has cs(srsuva wilt the revenue taws of the State of Nebrailw .le. ;hs determination of the partial release or subcr --�ntion indicate;+, r,#ovs., ; I1 Taxpayers Service Specialist r' at re i Title oat :'. Revenue AAgsnt Supervisor 3 oriied Signatu Title Date FOR COUNTY OFFICIAL'S USE NEORASKA DEPAPITMENT OF REVENUE — White and Canary Copies TAXPAYER -- Pink Copy COUNTY OFFICE — Goldenrod Copy ' Ift A2111CM IIOTICE(S) OF TAX LIEN (CM Ti'MMATION) IS (ARE) TO BE FILED OW .f/ITH THE 72GISTibit Or DEEDS. THE DOCUIUNr(S) IS CARE) NOT TO BE FONA30II3 m mm COUtz'I'T CLERIC. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE 1 DEPARTMOM nr R>• yr•:I�m-. (� GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER WITH AND THERE WILL BE NO PRE — PAYMENT OF FEES. THANK YOU FOR YOUR COOPERATION. i K= A r1 Vt!� tt un"ITIC810.03 F!eQE1lai Kemaze or twooralnavon lien Serial Number Document Serial �Wft of.Lipr► 0q.lal Security Number or : Numbet- 1 eaerat I.D. Number 89-104925 12924 7 LI 2/248 . Nebraska 1.0. Number County lleri Ftlpi> GWtilk ' • Spouse's Social severity :U,l4eq;f ri 4alkei[s Number 5260051 Hal l.Cgdt,h< TAXPAYER NAME AND WAILING A_eORESC_ . Fastness Name Name Teak C Street Address Street or Other Mailing Address City State zip Code City state zip Cade GrAnd- Island NE USE Tulia. OK -74136 Pct omt to tilt tevenlle laws of the Stmt aV ilrA!M*&, notice is hereby Liven that the State Tax Lien which has been duly f5W by the Nebmko Department of Revenue the above named taxpayer, is terminated, partW released, or subor& mkd to the extent iadkated below. TYPE OF ACTION TERMINATION OF TAX LIEN.'. The State Tax,Lien is hereby fully terminated. ❑ PARTIAL RELEASE. The State TwLWatt is ptuftily released as follows. Name of party making req zest and resFnnsible for filing certificate of partial release with approprZaie filing officer. ❑ SUBORDINATION. The State Tiiy 'Lien is subordinated as follows. Name of party making request and ress.::stble for filing certificate c "tulzordination with appropria:a filing officer. 7'; I hereby cftrtify tact; tte Nebraska Ce:art'ment c' ", avenue has cs(srsuva wilt the revenue taws of the State of Nebrailw .le. ;hs determination of the partial release or subcr --�ntion indicate;+, r,#ovs., ; I1 Taxpayers Service Specialist r' at re i Title oat :'. Revenue AAgsnt Supervisor 3 oriied Signatu Title Date FOR COUNTY OFFICIAL'S USE NEORASKA DEPAPITMENT OF REVENUE — White and Canary Copies TAXPAYER -- Pink Copy COUNTY OFFICE — Goldenrod Copy ' Ift A2111CM IIOTICE(S) OF TAX LIEN (CM Ti'MMATION) IS (ARE) TO BE FILED OW .f/ITH THE 72GISTibit Or DEEDS. THE DOCUIUNr(S) IS CARE) NOT TO BE FONA30II3 m mm COUtz'I'T CLERIC. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE 1 DEPARTMOM nr R>• yr•:I�m-. (� GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER WITH AND THERE WILL BE NO PRE — PAYMENT OF FEES. THANK YOU FOR YOUR COOPERATION. i K= A r1 Vt!� tt