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r <br />aeke <br />State irax to"., , <br />Statement of Termination or <br />V7ft,M e.' <br />upon iCSi0 <br />OT V0111101 <br />mammas or 000W0WM%1vn <br />Lien Serial Numtler <br />Doocuumment Serial <br />Date of. Lien <br />SOCi81 Security NumtMr Or <br />Federe! I.D. Number <br />89 - -' <br />�� <br />9/OYd463 <br />I LjJ[r <br />1�17�'r�9 <br />Nebraska I.D. Number <br />county <br />glen filed with <br />Spouse's Social Security <br />11Re/ISte►of Deeds <br />Number <br />5260 I <br />Hall <br />Q County Clerk <br />B> MNESS NAME AND LOCATION <br />ADDRESS <br />T'AXP.AY- 01-txAA4l� "Mii1AlLINa ADDRESS <br />Business Name <br />- <br />TO tk-,cDrarrrattim <br />Street Addrw6 <br />BtrASt.Or•Yfti7an MNilttitl /ladn�ts :. ; <br />7ti5fl 55ca`tl�: Ya1 ; Suite 911 <br />City <br />state Zip code <br />City' Stitr zip Code <br />Tulsa 74136 <br />Purmant to the revenue laws of the State of Nebaska, notice is herebq'*0en:thaG tilt }:State Tax Uen which has been duly <br />filed by the Nebraska Department of Revenue against the above isemed.bViiyer, is terminated, partially released, or subordi- <br />hated to the extent indicated below. <br />TYPE OF ACTiGiKI . <br />® TERMINATION OF TAX LIER. The State Tax Lien is hereby fully. tarminaigdi ' ' ., <br />0 RA1RTitAL RELEASE. The State Tax Lien is partially released as falIows. <br />Name wtt7arty making request and responsible for filing certiticatabt partial release with appropriate filing officer. <br />❑ SUBORDINAi(ON. The State Tax Lien is subordinated as f6s1ruu1i'4: <br />Nav-d% - party ma�ptg request and responsible for filing certificate of subordination with appropriate filing off leer. <br />I hereby certify teat the Nebraska Departmesl;.r , Revenue has compiled wyv the revenue laws of thdsiattir of Nebraska in the <br />determirldAlgn of tht5t!3minat on. partial above. <br />Taxaavers Service SpeciAaist <br />is lure Title Date <br />Revenue Aaent Supervisor <br />�. <br />;' ' Authorized Signature Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE Goldenrod Copy 1 <br />in AT?KM INOTiC$(S) p! TAX LIM (OR TERMINATION) IS (ARE) TO BE FILED 0%Y WITH <br />THE REGISTER OF DEEDS. <br />THE DOCMENT(S) IS (ARE) NOT TO BE PORHARDED To TFM COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />MHITEs TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT Or RR'11M"'l•. <br />GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS <br />BILLING IS TO BE ONCE PER MOM AND THERE WILL BE NO PRE—PAYMENT OF FEES. <br />THWK YOU FOR YOUR COOPERATION. ; <br />ft <br />p <br />l <br />.7_1 <br />