Laserfiche WebLink
NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000407-0 Pages: 1 <br />Debtor Name: VITAL SIGNS INC <br />Filing Date and Time: 01/07/2022 10:30 AM <br />202200208 <br />8.4e4..94 ,, State Tax Lien Statement of Termination or <br />imommenomme REVENUE Certificate of Partial Release or <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />Vr given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />PLEASE DO NOT WRITE IN'IRIS SP,. '' <br />Nebraska Identification Number <br />8115109 <br />Federal Identification Number <br />470813036 <br />Social Security Number <br />Spouse's Social Security Number <br />Lien Serial Number <br />11943177 <br />Lien filed with <br />Date of Lien <br />11/14/2019 <br />Tax Category <br />21 <br />County <br />HALL <br />© Register of Deeds © County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />Business Name <br />Name <br />VITAL SIGNS INC <br />Street Address <br />Street or Mailing Address <br />2218 WEST 2ND ST <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 68803 <br />Type of Action <br />Q TERMINATION OF TAX LIEN. The State Tax Lien 10 hereby fully terminated. UCC Inst Number 2001001033-8 <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />County Inst Number 20200044 <br />10/01/2016 • 06/30/2019 <br />0 PARTIAL RELEASE. <br />The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />termina • the 'nation, partial release, or subordination indicated above. <br />A <br />Preparers W, re <br />p1 _ --m <br />Authorized Signatut <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />1-DTZ-OZ7 402 -3 t9 <br />Date Telephone Number <br />Title <br />Date <br />4-232.69 Rey. 8-96 Supersede 4-232-69 Rev 10.95 <br />