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10/17/2001 1628 FAX 14024714429 NEBRASKA UCC <br />I <br />1 <br />a <br />200110630 <br />i <br />Q003/1009 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />aorKmarera er Subordination <br />TYPE OF ACTION <br />E OF TAX UEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBE 8 t <br />porate, individual Income, and withholding tax only) 19 <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 lion is subordinated as follows. INSTRUMENT NUMBER <br />=9 Arr r-uMFNTS <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE 77C <br />C I NalAlll"'fHl Id <br />1811 WEST 2 "D ST STB 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request end responsible for Song certificate of paroal release or subordlrtatten vath appropriate Slir g officer. <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In the determination of the <br />ter yination, partial release, or sub,Qrdination Indicated above. <br />sign�6� <br />here fWapaw9eiv TIN TelephanetJo. <br />Aulhoflz e Title <br />NEBRASKA DEPARTME OF REVENUE - de and Canary Copies TAXPAYER Pink Copy COUNTY OFFICE - Goldenrod Cagy <br />427Z�e Rev. a-66 Supe�sWert a2Sbee flN. / 0.94, I1 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebra kli notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />DepartmentofRevenue apinst the below -named tannyer,ts terminated, <br />pskrtially released, or subordinated to the extent indicated below. <br />Nebraska ldentlll ion Numbw <br />TaxCategory <br />Social Seam or Federal M. Number <br />Spouse's Social sec d N mbar <br />506- 50 -IYO <br />12811203 <br />22 <br />506 -5� -8390 <br />Lien Serial Number <br />81016020 <br />Lion Filed With <br />S Register of D**ds [] county Clark <br />Date of Lien <br />01 —16-81 <br />H LL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />ROBERT L & SHARON BOHNART <br />Street Address <br />StrestorOther Mai Nn Address <br />3804 E S�EDLING MILE <br />City state Zip cod* <br />City state ap cogs <br />GRAND ISLAND NE 6ti801 <br />TYPE OF ACTION <br />E OF TAX UEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBE 8 t <br />porate, individual Income, and withholding tax only) 19 <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 lion is subordinated as follows. INSTRUMENT NUMBER <br />=9 Arr r-uMFNTS <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE 77C <br />C I NalAlll"'fHl Id <br />1811 WEST 2 "D ST STB 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request end responsible for Song certificate of paroal release or subordlrtatten vath appropriate Slir g officer. <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In the determination of the <br />ter yination, partial release, or sub,Qrdination Indicated above. <br />sign�6� <br />here fWapaw9eiv TIN TelephanetJo. <br />Aulhoflz e Title <br />NEBRASKA DEPARTME OF REVENUE - de and Canary Copies TAXPAYER Pink Copy COUNTY OFFICE - Goldenrod Cagy <br />427Z�e Rev. a-66 Supe�sWert a2Sbee flN. / 0.94, I1 <br />