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10/17/2001 16:30 FAX 14024714429 NEBRASKA UCC <br />61-- 1-1 <br />s <br />200110633 <br />1a007/009 <br />State Tax Lien Statement of Termination <br />Or or Certificate of Partial Release or <br />d pint Subordination <br />TYPE OF ACTION <br />® TERMINATION OF AX LIEN. The State Tax lien is hereby fully terminated. INSTRUMENT NUM 9 2 4 31 <br />1985 <br />T orate, individual Income, and withholding tax only) <br />�❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMB <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Ploa9e rearm to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2D ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for filing certiffoam of partial (abase of subordination with trpproprWalking omcer. <br />.f <br />I hereby certify that the Nebmska Departmardof Revenue has complied with fhe reua um laws of the State of Nebraska In the determination of the <br />terminator% partial release, or subordi tan indicated above <br />sign <br />•� <br />Deft/ T,laphone Nc- <br />her - � <br />tom. <br />NEBRASKA DEPARIWENrOF REVENU hke and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.29240 Rer. e•9e 9upoledw 4,2374& Rau, 10193 <br />PLEASE DO NOT WRITE IN TWS 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 Sled by the Nebraska <br />Department ofRevenae againstthe below -named taxpayer,is terminated, <br />pqFtially released, or subordinated to the extent Indicated below. <br />Nebraeke IdentitioationNumbor <br />Tax Category I <br />Sodai Security of Federal I.D. Number <br />Spouse's Social Security Number <br />30394279 <br />22 <br />392 -86 -8883 <br />Lien Serial Number <br />Usn Filed With <br />Date of Lien <br />05-01-90 <br />;+L <br />90061008 <br />® Rooster of Desda [] county Cie* <br />. <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAIUNQ ADDRESS <br />Business Name <br />NaMe SISOUPHONE <br />Street Address <br />Street or Other Mailing AWress <br />315 EAST 2ND STREET APT 3 <br />9W_ J State apcode <br />City Zip <br />NE <br />I\ <br />GRAND ISLAND 65801 <br />TYPE OF ACTION <br />® TERMINATION OF AX LIEN. The State Tax lien is hereby fully terminated. INSTRUMENT NUM 9 2 4 31 <br />1985 <br />T orate, individual Income, and withholding tax only) <br />�❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMB <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Ploa9e rearm to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2D ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for filing certiffoam of partial (abase of subordination with trpproprWalking omcer. <br />.f <br />I hereby certify that the Nebmska Departmardof Revenue has complied with fhe reua um laws of the State of Nebraska In the determination of the <br />terminator% partial release, or subordi tan indicated above <br />sign <br />•� <br />Deft/ T,laphone Nc- <br />her - � <br />tom. <br />NEBRASKA DEPARIWENrOF REVENU hke and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.29240 Rer. e•9e 9upoledw 4,2374& Rau, 10193 <br />