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1 � <br /> � . <br /> State Tax Lien <br /> ��.�. Statement o! Termi�at�on o� <br /> �+°���' Certiticate oi Partial Release or Subo�dinatlon <br /> I.len S�rl�l Numper Opcumant Serla! pato 01 Llon Sotlal SecurltY NumCar or <br /> � Numbor t'O�orai I.D.Numper <br /> � 03 aas �32n 3-�6-s� 89=-�0666� <br /> Nsbraska I.D.Numher County Lien Flled vYlth SPOUS�'a Social Sacurity <br /> 2385546 Hal l ❑ county ci p�eas Numner <br /> BUSINESS NAME ANL1 LOCATION AOORESS TAXPAYHR NAME ANO MAILIlYO AOORE�S <br /> 8usineu Nama Narna <br /> Bonsali Pool Co. <br /> StrNt Adtlress Stre�t or Otner M�1lI�y AOCns� <br /> P.O. BOX 760 <br /> Clty State 21p Coae Clty State Zlp Cotl� <br /> Grand Island, NE 68801 <br /> Pwsuant to the revenue lawa of the State of Nebras�ca,notla is hereby given that the State Tax L�Cn which has been duly <br /> filed by the Nebraska Deparhnent of Revenue agaList the above named taxpayer.is tertninated,parliaUy releaxd,or aubordl- <br /> nated to the extent indicated fielow. <br /> TVPE OF ACTION <br /> lxl TERMINATION OF TAX LIEN. The State Tax Lien is 1�ereby fully terminated. ' <br /> � ❑ PARTIAL RELEASE.The State Tax Lien is partialty released as follows. <br /> Name ot p�rtv maklnq request and resvonslDle tor tlttnq certiticate ot pa�ttat retease wlth appropriate tiiing otttcer. <br /> ❑ SUBORDINATION. The State Tax Lien is subordinated as folto�vs. ' <br /> � <br /> ; <br /> Nam�ot p��ty making requast and responsibte tor filing certificate of subordinatlon wlth approprlate filing oNicer. <br /> 1 hateby eertity that the Nebrazka Depa►tment of Revenue has eomplietl with the revonue IawS oi th0 State of Nebrafka In the <br /> tleterminatlon ot the term{naUon,partlal►elease or subortllnatlon Inaleatetl above. <br /> , � 1 ��� <br /> .. ai� <br /> Taxpayers Service 5peciajist �����jr' <br /> . <,.he� r's SI9 we TIf1e Oat� ' <br /> � ° ` Revenue Agent Supervisor J2_rj_ � <br /> Authoriz�d 5J9nature Titie Oate ' , <br /> FOR COUNTIF OFFrC1AL'S USE � <br /> .....�: <br /> . ' ' '"'•'+�',�- <br /> , , <br /> �. w . <br /> e 3 <br /> N�BRASKA DERARTMENIT OF REVENUE—White and Canary Copies TAXPAYEii—Pink Copy COUNTY OFFICE—Gotdenrod Copy <br /> `t'HE A'j'P1YCtlED NOTICE(S) OF TAX LI1SN IOR TEtt!lI2�ATION) IS (ARE) TO BE FILED ONLY N�Tf1 - -- _. - - - -- <br /> THL RI�.GY3TSR OF D�S. <br /> .-= - <br />. � , <br /> TNE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. i <br /> DISTRIHUTION OF COPIES: ' <br /> WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RE7.'()RNED TO THE <br /> AEPARTMENT OF RE1lENUE. �1 <br /> LGOLDENROD: TO BE KEpT BY THE REGISTER OR DSEDg, <br /> BILLING IS TO BE ONCE PER MONTH At7D THERE WILL BE NO PRE-PAYAfENT OF F'EES. 1� <br /> THANK YOU FOR YOUR CdOPERATION. , �� <br /> r <br /> r. •. <br /> I � <br />