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11/14/2000 16:25 FAX 14024'14429 NEBRASKA UCC [a003/003 <br />14E 5— 111111111111111111111111111111111111 INIII1 B Pes t <br />XLENN SHE ILVN J <br />Filed, 11114/2000 02 08 PM <br />200009945 <br />State Tax Lien Statement of Termination <br />Or or Certificate of Partial Release or•` <br />mbreexe <br />e.p.rUn.nt Subordination <br />TYPE OF ACTION <br />LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUM <br />TAX YEARS (corporate, individual income, and withholding tax only) 1998 Filed 12-21-98 <br />❑PARTIAL RELEASE. The State Tax Lien Is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />PLEASE RETURN COPY CF <br />FILED L :EN TO: <br />NEBRASKA DEFT OF REVENUE <br />304 'NORTH 5T", SUITE D <br />NORFOLK NE 68701 <br />Name of party making request and responslble for filing certificate of partial release or subordination with appropriate filing officer. <br />hereby Certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the determination of ine <br />terminatio , artial release, or subordination indicated above. <br />sign -"t9 z&&6e GCJ lv�i. D sus <br />here Ptepe ' re T 47 Dal _ fWe_phoneNO. _ <br />$tTl Au SI ture Title Date <br />NEBRASKA DEPARTMENT CF REVENUE • White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE • Goldenrod Cop <br />4-232-Se Rer 5 -86 Suoersedet 4- 232 -69 Aev ]I& <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is terminated, <br />partially released, or subordinated to the extent Indicated below. <br />Nebraska Identification Number <br />Tax Category <br />Social Security or Federal I.O. Number <br />SpouSe's SOCIal Sewrily Number <br />7639449 <br />Sales/withholding <br />506-68-1749 <br />Lien Serial Number <br />Lien Filed With <br />Date of Lien <br />County <br />8/12/577 <br />50 Register of Deeds ❑ County Clark <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS J' <br />Business Name <br />Name <br />Sheril n J Allen <br />Street Address <br />Street or Other Mailing Address <br />909 West Charles Sj-rgnint- <br />cq stare Zip Code <br />city state ZpCode <br />rand Island NE 68801 <br />TYPE OF ACTION <br />LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUM <br />TAX YEARS (corporate, individual income, and withholding tax only) 1998 Filed 12-21-98 <br />❑PARTIAL RELEASE. The State Tax Lien Is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />PLEASE RETURN COPY CF <br />FILED L :EN TO: <br />NEBRASKA DEFT OF REVENUE <br />304 'NORTH 5T", SUITE D <br />NORFOLK NE 68701 <br />Name of party making request and responslble for filing certificate of partial release or subordination with appropriate filing officer. <br />hereby Certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the determination of ine <br />terminatio , artial release, or subordination indicated above. <br />sign -"t9 z&&6e GCJ lv�i. D sus <br />here Ptepe ' re T 47 Dal _ fWe_phoneNO. _ <br />$tTl Au SI ture Title Date <br />NEBRASKA DEPARTMENT CF REVENUE • White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE • Goldenrod Cop <br />4-232-Se Rer 5 -86 Suoersedet 4- 232 -69 Aev ]I& <br />