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1114/2000 16:25 FAX 14024714429 NEBRASKA UCC Q002/003 111I!II IIIII III 111111I I11 9900096329 Pgs. 1 ALLEN SHERILYN J Filed: 11114/2000 02.06 PI State Tax Lien Statement of Termination Ir or Certificate of Partial Release or llobraaka depadment Su bord i nano n TYPE OF ACTION TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER TAX YEARS (corporate, individual income, and withholding tax only) 9 9 -10 7 047— 1] PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, individual income, and withholding tax only) Q SUBORDINATION. The State Tax Lien is subordinated as follows, INSTRUMENT NUMBER PLEASE RETURN COPY OF FILED LIEN TO: NEBRASKA DEPT OF REVENUE 304 NORTH 5' , SUITE D NORFOLK NE 687C1 Name of party making request and responsible for hlmg certificate of partial releasa or subord nation with 2ppropriate filing officer I hereby certify that the Nebraska Department of Revenue has complied with the revenue taws of the State of Nebraska in the determination of the terminate r� partial release, or sub 'anon inC lcated above. sign ! r � here Pr a "— Title 10 tnhoriZe SN7 — ' nla NEBRASKA DEPARTMENT OF REVENUE - white and Canary Copies > Da�te _ Telephone No Date TAXPAYER - Pink Copy COUNTY OFFICE . Golder•:rod Copy 4 -23268 Rev 6-96 Supersedes 423268 Rev i PLEASE DO NOT WRITE IN THIS SPACE Pursuant to the revenue laws of the Stale of Nebraska, notice is hereby given that the Stale Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nebraska Identification Number Tax Category I Social Security or Federal I D. Number Spouae'e Social Security Numbei 7639449 Sales Tax (01) 506 -68 -1749 uen Serial Number Lien Filled With Date of Lien County 9/07/574 ® Register of Deeds [3 Counrl Clerk 7-1-99 Hal l BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Sherilyn J Allen Street Address Street or Other Mailing Address 909 West Charles Street city State ZIP Code city State Zip Code Grand Island NE 68801 TYPE OF ACTION TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER TAX YEARS (corporate, individual income, and withholding tax only) 9 9 -10 7 047— 1] PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, individual income, and withholding tax only) Q SUBORDINATION. The State Tax Lien is subordinated as follows, INSTRUMENT NUMBER PLEASE RETURN COPY OF FILED LIEN TO: NEBRASKA DEPT OF REVENUE 304 NORTH 5' , SUITE D NORFOLK NE 687C1 Name of party making request and responsible for hlmg certificate of partial releasa or subord nation with 2ppropriate filing officer I hereby certify that the Nebraska Department of Revenue has complied with the revenue taws of the State of Nebraska in the determination of the terminate r� partial release, or sub 'anon inC lcated above. sign ! r � here Pr a "— Title 10 tnhoriZe SN7 — ' nla NEBRASKA DEPARTMENT OF REVENUE - white and Canary Copies > Da�te _ Telephone No Date TAXPAYER - Pink Copy COUNTY OFFICE . Golder•:rod Copy 4 -23268 Rev 6-96 Supersedes 423268 Rev i