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F <br />State Tax Lien <br />Statement of Tornvination or <br />Go"ITIca <br />Lion Serial Number Document Serial <br />Number <br />88246050 13055 <br />a of Partial Release or Subordination <br />Date of Lion Social S�CUrstp Number or �}� +_ <br />pre" o..1.0. Number a �� C <br />$/2/88 492. 46 *779'4 5 <br />Lien Fl Nd with 5po4srr5ac.ar:S4eurity <br />Reter <br />" =ale t G *:umesr <br />county - <br />10702644 <br />Hall <br />of Deeds Number <br />�ORcaunty <br />clerk '- . 224 «72 -6too <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business; Name <br />I\iHRle . <br />Rfchard L. and Madeleine M. Reta ?lick <br />Street Address <br />Streit or Other Walling Address <br />2426 <br />2426 West Lamar Street - <br />City <br />State <br />City, state zip Code <br />Grand Island Efdi <br />t ' �t ~LO t C`1T8jSi� '�!4 ^" Q 111E SUtib- ldf' Mbvf i�:' - tiee is 11KCb . <br />t , l a�lr ily tLe k i Q .:..... s .. Y St►' 4�Sat the Sts :Tae �s ,? Spit hi.1 t lit <br />l sYs film above named b4li C'at.is tenmfiaatYxli3 <br />Iii w the <br />l l oaf =:,;+ ... sdhoidi- <br />1A TEFlII�j.: T1ON OF- TTAIC- 1,Ji�G .the State Tax Lien.isln i~rtt r; i`i�:: 7errr�aied. <br />PARTIAL RELEASE. The State Tax Lien is partially released as follotvs. <br />••.••­• Mer.y +n■R1nv request ana responsible for filing certlflcate of partial release with appropriate filing officer. <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. <br />Name of party making request and responsible for filing Certificate of sa.�TA'..atlOn with appropriate filing officer. <br />1 hereby certify that the Nebraska Department of R¢trenue has complied with the revenue laws of the State 0, . Nebraska 0 i na <br />determinatlon of the termination, partial release or subor( r.,1t;fin Indicated above. <br />• <br />�gil Revenue Agent Supervisor <br />a�[0Prop s r Tiro Date <br />Revenue Agent Supervisor <br />AUthoflZed Signature f Title <br />Date <br />FOR COUNTY OFFI'CIAL'S USE <br />4- <br />Ni 8i;f6SKA 0EP4F? +1Ti¢ENT OF REVENUE -White and Canary Copies ._'-1k Copy COUNTY OFFICE - GaisY•i ::a9 ^.c <br />_ ..orsetles A-2.32.69 f�s^r. 3�i:; <br />J ' <br />. z <br />i <br />�j <br />71 -- <br />