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12/14/2000 10:14 FAX 14024714429 NEBRASKA UCC Q008/001 <br />- <br />st.i. <br />j 9300102497 P95 f <br />FIledER12/ 2000 D <br />Piled. t2/44J2000 09.50 AM <br />C <br />200010828- <br />State Tax Lien Statement of Termination <br />Ir or Certificate of Partial Release or <br />nsbrska <br />d 6� Subordination <br />ayarnnt <br />DT rovww <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 tiled by the Nebraska <br />Department of Revenue againstthe below -named taxpayer, is terminated, <br />partially released, or subordinated to the extent indicated below. <br />Nebraska Identification Number <br />Tax Category <br />Social Security or Federal I.D. Number <br />spouses Social security Number <br />22 <br />529 -48 -5553 <br />Lien Serial Number <br />Lien Fled With <br />Date of Uen <br />County <br />Hall <br />® Rooster ofDeeds CourttyClerk <br />06/13/1997 <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />grinkerhooff <br />Street Address <br />street of Other Mailing Address <br />lee <br />City State Zp Code <br />City State Zp Code <br />I . Denver CO 80?3&--, <br />v s -1 <br />TYPE OF ACTION ­' <br />® RMINATIO OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER -Cty J491--106287 <br />T YEARS corporate, Individual income, and withholding tax only) <br />❑ PARTIAVRELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, individual Income, and withholding tax only} <br />SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Av e 1 PO Box 1500 <br />Scottsbluff NE 69363 -1500 <br />Name of party making request and responsible for filing cartiiirate of partial release ar subordination with appropriate Tiling ofeeer. <br />I hereby aw* that the Nehroka Department of Ravenua has compiled with line revenue IBM of the Sate of Nebraska in the determination of the <br />terminetlon, rttal roloase, or subordination indicated above_ <br />sign avenue A ent 1,z%, 1r , P08)632-1200 <br />here Properer� ro Title a Telephone No. <br />evenUe A99nt S',1Prtti50r <br />in zed r Tile Date <br />NEB SKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER • Pink Copy COUNTY OFFICE - Goldenrod COPY <br />+232.00 nmr. 9.26 Suposed" 4-232.60 F.N. 10-95 , <br />