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10/17/2001 16:27 FAX 14024714429 NEBRASKA UCC <br />6_)) <br />r. <br />20011062 <br />1a002/009 <br />Na aae of S*tr - UCC Tag <br />f <br />0001172446 -0 Paz: 1 i <br />WHITE DONNA L <br />Fl led: 10117120e1 03:72 Ph! <br />State Tax Lien Statement of Termination <br />Ir I or Certificate of Partial Release or <br />Subordination <br />rf rtr- flll- _- <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 />DepartmentofRevenue againsttbe below -named taxpayer,isterminated, <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 />Spouse's Social Security Number <br />504 -7697 <br />25419226 <br />22 <br />504 -16 -7401 <br />-54 <br />Lien Serial Number <br />62211064 <br />Lien Filed With <br />CiRegister of Deeds ❑ County Clerk <br />Date of Lien <br />07-30-82 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />DONNA L WHITE <br />Street Address <br />Sir ?'ffJ arl/}gAdd[ga€s. ST <br />6 Y�AA �� 11 �1 y9 11 Ll11 <br />pry State Zip Code <br />�Y Ito <br />GRAND ISLAND <br />23p Cotle <br />NE 68801 <br />TYPE OF ACTION <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 88-1 <br />88 <br />YEARS (c orate, individual income, and withholding teat only) 1981 09 FA oo 5_ 5 <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 />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for filing certificate of partial release or subordination with appropriate Ong oifrcer. <br />I hereby aer" that the Nebraska Department of Revenue has compiied with the revenue laws of the State of Nebraska In Me determination of the <br />terminerton, paftl release, orsubordinabon Odi AW abova <br />sign <br />here ewer' a r <br />Qq riz <br />NEBRASKA DEPAR E F REVENUE - ite and Canary <br />J Z &e 07; <br />Tde Dap r TelephoneNo, <br />p <br />J. .' /,0 <br />Tide Det <br />Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.232.0 Rev. s.9a 9uporaed- ♦,�2-ae Rov. 10.95 <br />