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� � <br /> I ' <br /> i <br /> ! State Tax I.ien <br /> ,�„ Staten�ent of Tsrmination or <br /> � �•' Cartificats of Pa►tial Relaaee or Subordlnation <br /> � l.i�n S�rlal NumC�r Ooeum�nt S�rlal pat�01�,i�n Socl�l S�curitY Num��r or � <br /> 9�03�9�o ����r Fettfrat t.Q.IVUmbar <br /> 3228 3-1-89 �T-0617387 p <br /> Ntbtiika t.Q.Numtr�r County Uan F(ted�kith Scousc's Snetai Ssturtty ��� ��n�9� <br /> jj] R�ylfttr o1 O�eds NumGr '��7 � <br /> 3667367 Hdl l ❑ co«�t�cie►k <br /> �USINEiS NAME AND lOCATION AOORESS TAX�AYER NAME AN�MAI41N0 ACORESS <br /> 9u�in�sf Nam� Nam� <br /> Z bS Ic <br /> Strwt Adaress StrNt or Othn Mallln9 Addr�ss <br /> u ... <br /> cnr stat� zio coa• c�er stae� z�p coa. <br /> Grand Island NE• 68801 <br /> . Purcusnt to the cevenue laws of the State of Nebra�ka.not�a is hereby given that the State Tax Lien which lw been duly► <br /> �}ed by the Nebra�ka Dep�rtmeat of Revenue aaainat the above named taxpayer.is termtnated,putlally rekaxd,or subordi- <br /> � nated to the extent indicated below. <br /> TYPE OF ACTION <br /> � l� TERMINATiON OF TAX lIEN. The State'�'ax Licn is hereby tuUy terr�ated. <br /> ❑ PARTIAL REl.EASE.The State Tax Lien is partially released as folluws. <br /> , Name ot party miking request and�esDOas�Dle tor tiltng certiilwte oe Dartia�rolease w{th apOroDrlate filing otlicsr. <br /> i . . , ; <br /> , � SUBOFiDINAl'ION.The State Tax Lien is subor�iinated as follows. � .`,�� <br /> . i�:� " <br /> f� <br /> . �� <br /> Name ot pa►ty makinq request an0 responslbte for iliinq cvrtitiwte ot subordlnatlon with approprlate titing oTflcer. <br /> �,I,t}Heby Cenify tha: t'�g Nebraska L�epartment ot Revenue has complied with the rcvenue lawf ot the StAte Oi Nebntk�in th� <br /> � at�rt»fett�on of the terminstlOn,portlat retOase or subortli�atlon intliCatetl above. - <br /> � • �� ,. k , w� - . <br /> - ��• A, ,, � � <br /> Taxp�yers Service Specialist ��� <br /> �r. 's S� re T�tte oat� <br /> � {w-.a Revenue Agent Sugervisor //-�C�'! , <br /> Authori2�fi Sl9natu►� Title Ost� ... <br /> �� <br /> FOR GOUNTV OFFICIAL'S USE � � <br /> �� '�.� <br /> :��`-`• <br /> � NE�RASKA 4EPARTMENT OF REVENUE—Whiteand Canary Copies TAXPAYEH—Pink Copy COUNTY OfFICE— Goldenrod Copy <br /> � __ .. . , �----=-�--,^.--�._�_._�. 4-232•68 Rev.5-85 :'__= <br />