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f <br />1 <br />: <br />:.:iitrp• �. <br />State Tax Uan <br />Statament at Tarnimtlon o r <br />.4 - �{i. li �its�f•- -- <br />90--107022 - <br />MOM:" <br />ifil <br />a of P1 <br />ate of U" <br />181 fielaase aT oupwUwwwwon <br />Bcei��y Num or <br />edialOHNumber <br />LA" fedel Nufr1M► <br />Document SWO <br />0/03/616 <br />1449 <br />7 <br />2 -15 -90 <br />Filed With <br />507 -64 -9613 <br />spouws social security <br />Nebraalra IA. Narrow <br />county <br />kritower of Dow Number <br />5027128 <br />Hall <br />p County Clark <br />OIH wM <br />"me AND LOCATION <br />ADDREU <br />TAXPAYER NAM@ AND WAILING ARDRBiR <br />atisia.w Name <br />Name <br />Ronald L Wagner <br />Street Address <br />street or other Melling Addmt <br />t Division <br />City <br />seste <br />zip Code <br />City state Zip Code <br />Grand Island NE 68801 <br />Pu maat to the revenue bws of the State of Nebradra, nonce is hereby Shen that Cue slate A ax 9MH ��r or tsborfl!- <br />feed by the N*mka Department of Revenue Wiest the above amred %XPaYer. is tfxmisated. Wcti>Dy <br />gaited to the extant iudlelted below. <br />TYPE OF ACTION <br />Cass TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL RELEAIIE. The State Tax Lien is partially released as follows. <br />Name of party nuking reddest and retponslbfe for faing Certificate of parties releate with appropriate filing officer. <br />C1 SUBORDINATION. The State Tax Lien it subordinated as follows. <br />Name of Party, making request and responsible for filing certificate of subordination with appropriate filing officer. <br />I hereby certify that the Nebraska Department of Revenue has compiled With the revenue laws of the State of Nebraska in the <br />determination of the termination, Partial release or subordination Indicated above. <br />sign <br />hero <br />signature <br />IJ <br />, <br />1 <br />, <br />P <br />Revenue Agent Supervisor <br />Title <br />Revenue Agent Supervisor <br />Title <br />2 --6-!O <br />Dale <br />/1 b -Ird <br />Date <br />4 ��� S�,>�id •Y iY,� � i "� <br />—�jfl rt i <br />NEBRASKA DEPARTMENT OF REVE•NJE -- White and Canary Copies TAXPAYER •- pink COPY COUNTY OFFICE - Goldenrod Copy i I, <br />4.232.68 Rev. S•66 <br />Sucertedes 4- 232.68 Rev. 1.02 <br />:'I <br />I � <br />J <br />.fir �nY <br />-- <br />-l; � •il • <br />-_ <br />1 <br />NEBRASKA DEPARTMENT OF REVE•NJE -- White and Canary Copies TAXPAYER •- pink COPY COUNTY OFFICE - Goldenrod Copy i I, <br />4.232.68 Rev. S•66 <br />Sucertedes 4- 232.68 Rev. 1.02 <br />:'I <br />I � <br />