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r.:auww►tae -`w - a�RolYfifitlBltWlt .arr�W <br />, <br />•.r of �" .d. ,i ..4 <br />__ter <br />K <br />r <br />be=- * <br />r, — - <br />State Tex Lien <br />8teten�ent of Terndnetion or <br />90--107106 <br />Lien Sabel NuntMf <br />DectlmMt SWIM <br />Date of LNn _ - <br />Social Security Number or <br />— <br />N9meer <br />Federal I.D. Number <br />+ f7�r ��I�,•Sr <br />0/10/684 <br />n'� �''t <br />10 -18 -90 <br />•. ',,,,11�Iiy� <br />, t <br />county <br />n PINd with <br />apmws cowl security <br />i•LG'. <br />gCounig RNr� <br />Number <br />6920426 <br />Nall <br />Nr�� <br />505-9- <br />r <br />be=- * <br />r, — - <br />State Tex Lien <br />8teten�ent of Terndnetion or <br />90--107106 <br />Lien Sabel NuntMf <br />DectlmMt SWIM <br />Date of LNn _ - <br />Social Security Number or <br />— <br />N9meer <br />Federal I.D. Number <br />0/10/684 <br />14758 <br />10 -18 -90 <br />505 -96 -0778 <br />Nebraska I.D. Minter <br />county <br />n PINd with <br />apmws cowl security <br />i•LG'. <br />gCounig RNr� <br />Number <br />6920426 <br />Nall <br />Nr�� <br />505-9- <br />tUSlNSIS <br />NAME AND LOCATION <br />ADOltttit <br />TAKMYtII NAMt AND MAILING AtSOIttNtt <br />Room" NUM <br />Name <br />Matthew J. A Angfila 0- Smith <br />Stra st Address <br />'street or Other IAM" Addr4M <br />[ 7.a• <br />�FSF'•. <br />1519 North Edd <br />City <br />State <br />Zip Code <br />Clty 414te zip Code <br />Grand Island NE 6880 <br />pmsttssst to the ttfltlff##l10 Iowa of the State of Nebrsdub. 081100 it hereby Sifeta tat the State Tax 1AM rayUM ttas Own Guy <br />6Mi by cite [V*mM Department of Rtfaatre Wind the alwre meted tflrtpgra, is tefrltWMW- Par'"y aerleeaild -olf rldbordl' <br />Dated to die elAeslt Indicated below. <br />(ij TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL REI.EAN. The State Tax Lion b partially released as follows. <br />Name of party n aklrfo request and responsible for filing certificate of partial release with appropriate filing officer. <br />❑ SUBORDINATION. The State Tax Lien M subordinated as follows. <br />Name of party making request and responsible for filing certificate of subordination with approprla't•a piing officer. <br />1 hweby certify that the Nebraska Department of Revenue has complied with the revenue laws of the state of Nebraska In the <br />determination of tM termination, partial release or subordination indicated above. <br />''•mign Tax a era Service Saecialist 12-12 leg <br />..he re I &lure IM N�V Dan <br />Authorized Signata,� JA" Date <br />FOR COUNTY OFFICIAVS USE <br />NEBRASKA OEPART NIENT OF REVENUE - White and Camry Copies TAXPAYER - Pink Copy COUNTY OFF ICE - Go!dar,ud Copv <br />4.232.68 fo,ev. 9 -86 <br />5uParades 4.232.68 Rev. 1.81 <br />J <br />i <br />i•LG'. <br />r <br />' <br />[ 7.a• <br />�FSF'•. <br />