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J2/14/2000 10:14 FAX 14024714429 <br />.� <br />NEBRASKA UCC 002/003 <br />11141 111111111111111 � $11Ei�1w <br />94 Pgs <br />BRUCKnRIJ CARTER M <br />Flied, 12/14/2000 06:50 AM <br />State Tax Lien Statement of Teemination <br />Or or Certificate -of Partial Release or <br />a.pererre�at <br />Subordination <br />a feY�nYr/ <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Departmentof Revenue against the below -named taxpayer, is terminated, <br />2000108271 <br />partially released; or subordinated to the extent indicated below. <br />Nebraskaldentification Number <br />Tax Category <br />Social Security or Federal I.D. Number <br />Spouse's Social Security Number <br />39473627 <br />22 <br />507 -72 -6161 <br />Lien Serial Number <br />Lien Fled With <br />® Register of Deeds ❑ county Clark <br />Date of Lien <br />06/26/1998 <br />County <br />Hall <br />981770278 <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Ni&M* <br />Name <br />Street Address <br />Street or Other Mailing Adoress <br />city State Tip Code <br />City State Zip Code <br />TYPE OF ACTION <br />®TERMINATION of TAx LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NU <br />TAX YEARS%(oorporate, Individual Income, and withholding tax only) <br />PARTIAL-AELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />SUBORDINATION. T'he State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff NE 69363 -1500 <br />Name-of party making request and rasponsibteforiding certificateof partial release or subordination with appropriate filing officer. <br />1 hereby cartify tttatthe Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in Cie determination of the <br />termination, partial release, or subordinationlndlcated above. <br />sign <br />here <br />DEPARTMENT OF REVENUE - While and Canary <br />Revenue Agent , X081632 -1200 <br />Title Oato Tolepho No. <br />Revenue Agent supervisor <br />TAIe Date <br />TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4-232 -6e Rev. 9-H SupveaCe« 4 -M2 -68 Re . '3'9h1 <br />