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1 � <br /> State Tax �.ien <br /> ,.,�� Steterne�t of Te�minetion or <br /> '"""' Certificete of Partlal Rel��s� or Subordination <br /> o �N�nue <br /> •---�' <br /> Li�n Ser1o1 Numuer t)cuum�nt S�rl�l Oat�of�.�pn $oc��!S�cuelty Numbar or 89�� <br /> A�oA���c (yu�ry�i� ^���_A� Feaera11.0.Nambe. <br /> a �r �� 1 � �� 0 5Q��9Q►-0�33 i.�s��� <br /> - . Nebratka I,O,ntumbar CRttnty L��n Filttl ti41tn SPPtIfO'f.�ic�tl�i SfGUtity <br /> � ReQ�stsr a�Deeai Numoer <br /> 5�91895 ltal l ❑ Cou�ly Clerk <br /> �U�INES9 NAME ANO LOCATION AOORESS TAXPAYER NAME AND MAILINO AOQRESS <br /> Hutlnot9 N�m• N�m• <br /> Pra9rle Pizza Larr J. Patterson <br /> Str��t AtlOr�tf Str��t ot Oth�r Ma11in�Adtlr�f� <br /> 13 N Flebster 6�2 Faidle P1 �e A t #5 <br /> Clty Stat• tlp Cot1e City Stat� Zip Coae <br /> Red Cloud NE 68974 Grand Island NE 688d3 <br /> Pur:wut to the revenue laws af ihe State af Nebra�a.natice ts heaby gi�en that the State Tax Licn wltich has been duty <br /> filed by tht Nebr��ica Deputment of Revenue�alnst the abave named taxpayer�is terminated.partiaUy relr�ued�or subordl- <br /> nated to the extent indicated below. <br /> TVPE OF ACTION <br /> yQ T�RRAIRiA'ii0ii t3F TAw LiEi�. Tl�s:Siate�'��:Lie1 is t�cret�y fuily iem�u�ated. <br /> ❑ PARTIAL REI.EASE. The State Tax Lien ls pa»iapy released as fo11o���s. <br /> � Name ot p�KY mrklnq request antl resPOns�b�e tor TI�Inq certlficate o/pa�tla�roiaase with aDP�oprlate fitinq ofllCer, <br /> ❑ SU80ROINATION.The Stace Tax Lien is subordinated as folluws. ; <br /> � <br /> ! �- <br /> t�?� <br /> Name oT p�rty�r.aking request anG rasponsihle for�tltng certitlWte ot supor�llnation wlth appropNate Hllny oHlCer. � <br /> i <br /> 1 nereby cer_t•y ttsat the Nebraska beaer.t�r�,t or Reverue nas compi�otl wlth tha .evenue laws ot tho State of Nobraska In the � <br /> determin�tion of tre torminatlon,partlal ralease cr subordtnation:nCicatod ahove. � <br /> sIg11 Taxpayers Servi ce Speci al i st �/_,��� <br /> (:t �� t ature , : Titlo • Oat� <br /> �. ,,�; ��, Reverru�• Agent Supervi sor //. �, ,f� <br /> �� •M, A=norizad Si9naturs J Titlo Dat� <br /> � POR COUNTY OFFICIAL'S USE — <br /> sp< <br /> � � <br /> _.� �;�: <br /> : — <br /> j . i�: � � <br /> ti � ' <br /> � , � <br /> •. ; . , . <br /> NEBfiASKA OEPARTMENT pF RES�'L�9LIE -White and Canory Copies TA3(PGMEi? - F;�^<CooY C�CiNTY OFPfCE— Goldenrod CoPv <br /> 'PElE ATTli1CHl".e NOTZ�P(S) OF TAX LIEN (OR TE�IATIQN) a5 (ARE) Tt7 BE FILED ONLY WITH <br />" '!Nt 1�GI/'!'�R �' d�7$. � •--_--_=__ <br />, :_.,, . <br /> THE UOCUMENT(5) I5 (ARE) NOT TO BE FORWAFtDEII TU THE COIINTY CLERK. � <br /> DISTF.IBTS2ION OF COPIES: <br /> WHITE: ' TO BE VALYbAT�D BY THE REGISTER OF DEEDS AP�D RETURtiED TU THE <br /> DEPARTMENT OF REVENUE. <br /> LGOLDENROU: TO 8$ I(Ep7' gY TNE REGISTER OF DfiF.US. <br /> BILLING IS TO SE ONCE PER MONTii NJD THFRE WILL BE NO PR�:-PAYMENT OF PFF.S. � <br /> 97ilINK YOU FOR YOUR COOP�Rl1TION. � <br /> _._.� .._.__....__..�__..�_.___._._-----_____ _.-----• ---- -______�____ - - ---.. -------- -- - — -- - -- �, �� <br /> M � <br /> � � � <br />