Laserfiche WebLink
� � <br /> State Tax Llen <br /> Statement of Termination or <br /> o°�«:":' Certificate ot Partial Rele�ase or Subordination <br /> � ZEen Serlai iVumbe� Documat�!Slriai Oate of LE6r+ Suel�t Sacur{tv Number aa • <br /> NumOer Feaera! I.D. Numder � <br /> 9/Q4/p21 13223 4-7-�84 r �"` i.0���i1 <br /> Nebraski t,�.Number County Llen Fltetl Wlth SPOUte's Soclal SecurltY <br /> �Reglfter ot Oesds Numbo� <br /> 5449219 HCZ�� ❑County CIarM <br /> BUSINESS NAIrtE AND LOCATION AOORESS TAXPAYER NAME ANO MAlLINO ADORESS <br /> Buslnesf N�me Name <br /> Com rehensive Dental Services Inc. <br /> S:reet Addresf Street or Other Mailing AtlOnsf <br /> 142? North l�1Fbb Road <br /> Cltv State z�p Coae Gtv Stat� 2Ip Coa� <br /> Grand Island, P1E 68803 <br /> Pursu�nt to the rcvenue laws af the State of Nebraska. notice ie henby given that the State Tax Lkn which has been duly <br /> filed by the Nebraska Deputment af Revenue against the�tbotY named taxpayer�is terminated�pariially rclaxd,or subardI- <br /> �tr±to!�r rz:ra3�3�eatd brlaw. � <br /> TYPE OF ACTION • <br /> I� TERMINATION OF TAX LIEN. The State Tar Lien is hereby fully tcrniinated. <br /> ❑ PAiiT1AL RELEASE.Thc State Tax Lien is partially releascd as follo�cs. <br /> � E <br /> Namo 01 Aarty makinq:e¢uest and respons�bie tor tqinq cortiti�ato ot nartiai roiease�VK!�ADPropA8t0 111111g 0111C�P. � ti <br /> �. <br /> :a <br /> ❑ SUBORDINATION.The St3t�Tax Lien is subordinated as ti�lio�vs. I�=' <br /> ;.�, <br /> ... <br /> Namo of party mak�ng requast and responsible tor Tlllnq certiticate ot subo►tlination wlth approprlate Tlling olflcor. <br /> . I hereCy certNy th0t t�e NebrBSka Dapaitmant ot ROvenua has ComDlletl with tnp revOnuC IdtivS ot th0 Stat6 Of NBb�aSkO 1�th9 <br />� determinatlon p1 the terminatlon,part�al retaato or zuDortlinatlon�naicated abovo. - <br /> • ` <br /> � s�gn �'axpa,yers servi ces speci al i st �� <br /> • �e Pr t' Si9� a ' tlo D te � <br /> ,. Revenue Agent Supervisor _�/-� - <br /> R' <br /> � Autnorizetl St9nature Tltle Date '•�' <br /> c y:rs.. <br /> FOR COUNTY OFF1CtAl'S USE -- <br /> , �� <br /> t. � ., <br /> : <br /> .�' <br /> NEBRASKA DEPARTMENT OF REVENUE - Whiteand Canary Copies TAXPAYER —Pink Copy COUNTY OFFICE—Goldenrod Copy <br /> 4•232-6B Rev.5•86 � � � <br /> Suporseaes 4-232-b8 Rov.l•B 1 � <br /> i <br /> � <br /> L,��,.,, , � � <br /> 1� <br /> r <br /> . " �� <br /> �+ - <br /> i.�.,_ � <br />