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12/12/2000 15:42 FAX 14024714429 <br />Or <br />nebraska <br />department <br />Of revenue <br />NEBRASKA UCC U002/002 <br />1111111111111111 Nil 1111111111111111111 <br />9900102185 Pgs t <br />VELAZOUEZ JUAN B <br />Filed 12/12/2000 02 04 PM <br />200010'787 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff NE 69363 -1500 TE- R:MINATIDN F STATE TAX LIEN <br />AL INCOME TAX <br />IF YGU INQUIRE ABOUT YOUR <br />ACCOUNTt REFER TO THESE NUMBERS: <br />Safe► SEC. No. 605120361 <br />NEBR. IDENT. NO. 357'39$27 <br />SPOUSE SUC, SEC. NO. 620051$86 <br />TAXABLE. YEAR 3992 JUAN B C LILIA R VELAZQUEZ <br />LIEN NO. 960470113 2143 EAST MAIN ST <br />LIEN RELEASE NIU. 003392318 STOCATON CA 95205 <br />COUNTY Mall aik+5 <br />DATE OF NOTICE 12BL412000 <br />INSTRUMENT <br />PURSUANT TO THE REVENUE LAWS CF THE STATE GF NE$RASKA„ NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENY OF REVENUE THA7 THE <br />STATE TAX LIEN.WHTCH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY CERTIFY <br />WITH THE REVENUE <br />THIS TE MINATION. <br />FREPAORtS SING <br />THAT THE NEBRASKA DEPAaTMENT OF REVENUE HAS COMPLIED <br />LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATICN nF <br />�-.-. .- ere ........ <br />C1RI t3 JIvAIATURE <br />&/&D'Aag ;�'Gg sees 0 a ajile I / a! a a i0a 6 4 <br />TITLE DATE <br />T LE DATE <br />NEBRASKA DEPARTMENT OF REVENUE —White and Canary Copies TAXPAYER — Pink Copy <br />Pr,gW with soy ink on'ecyded paper 7.145.1979 Rev. 2.2000 Supersedes 7.145.1979 Rev 1J -1995 <br />