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� � <br /> St�te Tax Lien <br /> S�atscnent at 1'erminatlon or <br /> "`"°' C�rtificate af Partial Releass ar Subo�dinatian <br /> a �«.��. <br /> � i.hn SerVa►Wumoef Dncuman{Seeial Wtt�at Uan Sacial S�tu�itY Num00�ar <br /> � . {ycrmber F�d�rat 1.�.NumA�r <br /> s�o���6a i szo� �-3�-e� - . ag..� 10584� <br /> N�btat+ca I.p,Numaor County LIM Fl��o wttn 5oouw'�socis�Saw�ty <br /> � � R�qlst�r of pHCE Nump�r <br /> 353A8a7 Hal l Cl co��ty��.�M 5(35-52A67�3 <br /> BUi1NEiS NAME AND LOCAf10N AQDlIESS TAXPAVER NAME AND MAILIIVO ADOREBS <br /> � 9ustnefs Nim1 Nam� <br /> � Edmund A. � Shar�n K. Brown <br /> ' Stn�t Aaans� Str��t or Oth�r Ma1�inA ACOnsf <br /> P.O. Box 107�' <br /> City St�t• Iip CcOe GItY SUt� ZID Cpd� <br /> tlood Ri ver, NE 68883 <br /> Pureusnt to tbe�.e�nue Irvs of the Stats of Nebry�{a.notice is hercby given that the State Tax Lien which ha�6een dutv <br /> tiled by the Nebn�tcs Deputment of Revenue y,ainst the aba�s named Wcpiyer,is terminated.putially released.ar subardi- <br /> mted ta the exunt indicatrd beMw. ' <br /> TVPE OF ACTION <br /> Q TERMINATION OF TAX UEN. The State Tax Lien is hereby fully tcrminated. <br /> ❑ PAATIAL R�LEASE.The 5tate Tax L�en is partiaRy released as f��;2uus_ <br /> Name ot partY maxinry request a�tf respon:�n�e tor�Illny cartll�cate ot Da�t�a�re�ease wNh appropriate flllny otticel. �� :- <br /> ..�': <br /> L� SUBOR�1NAf1�N. Thr Statc Tax lacn is sub��rdtnatcd as fullows. ' -= <br /> . j:;. <br /> Nam�of party m�kln9 repuest��tl retPansl�le tor f111ng ce►tltleate o1 subor�lnation wtth aDDroOrls!o 1�IIny olflcer. <br /> , 1 h�nby certlfy t�at tne N�6�atx� DeDartmont �1 Revonue n�y compfle�with thE�lvE�UO 10WS 01 !hE SI�Le ot N�Drafki In th� - <br /> , tl�tf�T.1MtIOn 01 thf!tOfrtlln�tiOn,partlal rete�ie or subo�tllnatlon�nalutoa e0avo. � - <br /> : ' <br /> , �Igli � Taxpayers Serv9ce S�ecialist �°'��"� <br /> -hen •r'� atur� Tiue Ost� <br /> t�.�.� „�� Revenue Aqent Supervisor _ ��"��'� a <br /> • Aulherintl519nat � 7isi� Date — <br /> fON COUNTY OFFICIAL S USE `�- <br /> ?7i8 11ZT1tCl�D M�37'IC�(8� OE TIIX LI=li (IM T�7lIAT�Gl1� IS (ARE� TO BE FILED �Y•:11t.�1'H . <br /> THE �DCIl�Tf�R Q! DEEDS. � ; <br /> THE DOCUMIIIT (S) IS �ARE) NOT TO BE FURWARDEb TO THE COUNTY CLERK. - <br /> DISTR�BtjT�Oti OF COPIES: <br /> I�3TE: TO BE iDALIbATED BY THE REGISTER OF DEED3 AND RETURNID TO �9� •.� <br /> �� • DEl'ARTMENT �Y �LVENUE. ' <br /> GQLI7ENROD: TO BF. KEPT BY TfiE REGISTER OF DEEDS. . <br /> BILLING Ya TO BE OIiCE PEFt HONTlI AND THEAE WILL BE NO PRE—PAYMEfiT OF F.EES. <br /> T!{1�i1C YQU FOR YIXIIt COOPERATION. <br /> NtBiiASKA DEPARTMENY UF REVENUE Yltate a��d Co�ary CCCces TA%PAYER P,nk Copv �� COUNTY OfFICE Guldenrod CopY <br /> 4•?3e fiB Rov. 5•8G - __ <br /> r—`--�..- � <br /> Suuers:des 4 232-68 Rev. 1•81 � <br /> L.. � L. J <br /> � <br /> �f <br /> � <br /> �. , <br /> C�. _.� - <br />