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12/15/2000 11:08 FAX 14024714429 NEBRASKA UCC <br />Q003/005 <br />- 41E�1111111111AN1111 {ll 1111111111 lull lull ', <br />8900102825 13e3' <br />TAYLOR MARGENE L <br />Filed 12/15/2900 05.29 AM. <br />200010878 <br />Or State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />nieri1u <br />Mpar4rrsnt Subordination <br />/ � • TYPE OF ACTION <br />Mj(ERMIiATIoA or TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 10592 03-01 -9f <br />^ C YEAO (corporate, Individual Income, and withholding tax lolly) <br />❑ PARTIAL RELEASE 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 />Name of party making roqueat and responsible for tiling certificate of partial release or sut)ordinaton with appropriate filing ofticef. <br />I hereby cwtiiy that the Nebraska Department of Revenue has oamptied with the revenue laws of the State of Nebraska in the determination of the <br />termination, partial release, or ubordlnatlon Indicated above. <br />sign <br />��' <br />here e fen's rtie Date TelephoneNo. <br />i <br />fttorized <br />Ad Da <br />NFEBRASRA DEPARTME F REVENUE • White and Canary Copies TAXPAYER • PIM Copy COUNTY OFFICE - Goldenrod Copy <br />4-292-66 Rsv. 6.96 supwsedes 4292.60 Rev. 1095 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice 15 hereby <br />given that the State Tax Lien whkh has been duly i)led by the Nebraska <br />Department of Revenue against the 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 1.4. Number <br />Spouse's Social Secirity Number <br />6828663 <br />01 <br />511-50—.1760 <br />Lien Serial Number <br />Lien Fled With <br />Date of Lien <br />County <br />Register of Deeds ❑ County Clork <br />6 <br />07-29-9f; <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />autiinesa Name <br />Name <br />MARGEM L TAYLOR <br />Street Address <br />Street or Other Melting Address <br />921 W ANNA ST _ <br />Gty state Zlp Coda <br />City State rip Code <br />GRAND ISLAND NE 68801 <br />/ � • TYPE OF ACTION <br />Mj(ERMIiATIoA or TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 10592 03-01 -9f <br />^ C YEAO (corporate, Individual Income, and withholding tax lolly) <br />❑ PARTIAL RELEASE 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 />Name of party making roqueat and responsible for tiling certificate of partial release or sut)ordinaton with appropriate filing ofticef. <br />I hereby cwtiiy that the Nebraska Department of Revenue has oamptied with the revenue laws of the State of Nebraska in the determination of the <br />termination, partial release, or ubordlnatlon Indicated above. <br />sign <br />��' <br />here e fen's rtie Date TelephoneNo. <br />i <br />fttorized <br />Ad Da <br />NFEBRASRA DEPARTME F REVENUE • White and Canary Copies TAXPAYER • PIM Copy COUNTY OFFICE - Goldenrod Copy <br />4-292-66 Rsv. 6.96 supwsedes 4292.60 Rev. 1095 <br />