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09/18/2001 15:59 FAX 14024714429 r` \�`j 0 1 V im NEBRASKA UCC /002/002 Na ii0 Y� 11,011,0%0 �. GG -t 99011B708t -9 Pas: 1 M pey DEREK 5 Fllad: 09/1812001 03:32 PM 200109521 State Tax Lien Statement of Termination Ir mbrura or Certificate of Partial Release or �p�it e" rovsrw• Subordination r TYPE OF ACTION ZII TERMINATION O TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 8987 09 29 orporate, Individual Income, and withholding tax only) 19fity # 98 -109 ❑ PARTIAL RELEASE The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER Please forward to: Nebraska Department of Revenue 4500 Ave I PO Box 1500 Scottsbluff NE 69363 -1500 Name of parry making request and responaible for fling certificate of partial release or subordination with appropriate filing offtcer I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In the determination or the termination, all release, or subordination indicated above. Sign V@ UQ Aqent c3osl 632 -1200 here P ign e a Date Telephonallo. ga� Revenue Supervisor /// uthoftsid Sig. Title Date DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy 4232-60 Rev. e-9e Supersedes 4-232 -ee Rev_ 10 -95 PLEASE DO NOT WRITE IN TWS SPACE Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that !be State Tax Lien which has been duly bled by the Nebraska Department ofRevenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. .N Nebraska Identification Number Tax Category S=4 Security or Federal I.D. Number Spouse's Social Security Number 39471616 22 362 -98 -6954 Lien Serial Number Lien Filed With Date of Lien County 981640069 [IRaglsterofDeeds ❑ county CwK 06/13/1998 lull BUSINESS NAME AND LOCATION ADDRESS I TAXPAYER NAME AND MAILING ADDRESS Business Name Name Derek S Berry Street Address Street or Other Mailing Address 10765 ScriWg Ranch Blvd city State Zlp Code City State Zip Code San Diego CA 92131 r TYPE OF ACTION ZII TERMINATION O TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 8987 09 29 orporate, Individual Income, and withholding tax only) 19fity # 98 -109 ❑ PARTIAL RELEASE The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER Please forward to: Nebraska Department of Revenue 4500 Ave I PO Box 1500 Scottsbluff NE 69363 -1500 Name of parry making request and responaible for fling certificate of partial release or subordination with appropriate filing offtcer I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In the determination or the termination, all release, or subordination indicated above. Sign V@ UQ Aqent c3osl 632 -1200 here P ign e a Date Telephonallo. ga� Revenue Supervisor /// uthoftsid Sig. Title Date DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy 4232-60 Rev. e-9e Supersedes 4-232 -ee Rev_ 10 -95