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09/25/2001 16:20 FAX 14024714429 NEBRASKA UCC 12002/002 s� .fir n�Ermft eewrUneel or revenue 1 03:42 PM rn `� i i �I s: 1 200109813 State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination TYPE OF ACTION TERMINATION OF TAX LIEN. The StsteTaz Lien is hereby fully terminated. INSTRUMENT NUMBER 98 --109 - YEAR corporate, Individual Income, and withholding tax only) 1996 & 1997 t„4� ❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER — Plesse return to: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2ND ST STE 460 _ GRAND ISLAND NE 68803 Name making request Party n9 eq espanaibietor filing certificate of parent release or subordination with appropriate tuinp officer. I here that the Nebraska Department of Revenue has oorriplied with the revenue taws of the State of Nebraska in the determination of the termir io , rel or subordination indicided above. sign Ttle V/ V ) 36s here, Pr 'ssignalue -.7 Tefthqn9NOV o oraad S' e n el NEBRASKA EPARTMENT REVENU - hIe and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy 4- 292 -ea Rev. 8-0 Supersede 4.23246 Rev. 10.95 • �C PLEASE DO NOT WRITE IN TMS SPACE Pursuant to the revenue laws of the State of Nebraska, notice is hereby Wen that the State Tax Lien which has been duly filed by the Nebraska Depa rtment of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent Indicated below. Nebraska IderaificationNumber Tax Cat9pory Social Security or Federal I.D. Number Spouse's Social Security Number 25219308 22 505 -82 -9919 Date of Lien County Wen Serial Number Vert Filed With 981560045 q Register of Deeds [] County Cierk 9-9-98 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name TONTO L CAMPER Street Address Street or Other Mailing Address 1322 WEST 1ST City State ip Code City State Zp Code GRAND ISLAND NE 68801 TYPE OF ACTION TERMINATION OF TAX LIEN. The StsteTaz Lien is hereby fully terminated. INSTRUMENT NUMBER 98 --109 - YEAR corporate, Individual Income, and withholding tax only) 1996 & 1997 t„4� ❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER — Plesse return to: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2ND ST STE 460 _ GRAND ISLAND NE 68803 Name making request Party n9 eq espanaibietor filing certificate of parent release or subordination with appropriate tuinp officer. I here that the Nebraska Department of Revenue has oorriplied with the revenue taws of the State of Nebraska in the determination of the termir io , rel or subordination indicided above. sign Ttle V/ V ) 36s here, Pr 'ssignalue -.7 Tefthqn9NOV o oraad S' e n el NEBRASKA EPARTMENT REVENU - hIe and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy 4- 292 -ea Rev. 8-0 Supersede 4.23246 Rev. 10.95 • �C