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121/22/2000 17:22 FAX 14024714429 NEBRASKA UCC <br />200011075 <br />Z 007/008 <br />! 111111 llll!liffl 11111 !1111 11111!!11 III <br />99(e0104508 pgg t <br />10rred P12122/2000 031.2314PM <br />State Tax Lien Statement of Termination <br />�r or Certificate of Partial Release or <br />nebrasks Subordination <br />department <br />or »venue PLEASE DO NOT PYRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Len which has been duly filed by the Nebraska <br />Department orRevenue against the below -named taxpayer, is terminated, <br />partially released, or subordinated to the extent iudkated below. <br />n Serial Number 1 Lien Filed with <br />_943220053 [A Register of Deeds ❑ County clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />sines name <br />Social Security or Federal I.D. Number Spouse's Social SeCUmy <br />cnra_7A_S1 AA 1 505 -68 -2996 <br />of uen { %,Wr %Y <br />02/24/1995 !, Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name Oh1SOn <br />Patricia J. (oiilstm) Lloyd &Randy <br />�raetAddress Street or other Melling Address <br />435 5th Avenue'Northeast. <br />Slate Zip Code City State ZaP Coda <br />city Valley City, ND 58072 <br />TYPE OF ACTION <br />[ATERMINATION of TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER Ct 1 # 95- 101224 <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />1968, 1989 8 1990 ----'' <br />j] PARTIAL RELEASE. Tie State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />SUBORDINATION. <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Avenue I PO Box 1500 <br />Scottsbluff, NE 69363 -1500 <br />Name of party making request end respon9ible far 11 rig eertiticate or partial release or subordination with appropriaW filing officer. <br />i hereby certify that the Nebraska DepaNnent of Revenue has complied with the revenue laws of the State of Nebraska In the determination of the <br />termination, aural release. or subordination indicated above. <br />�tevenue Agent - Jjjq 0n (308) 632 -1200 <br />/ Tide ate TslephoneNO. <br />Revenue Agent Supervisor t W-L <br />Title <br />COUNTY OFFICE - Goldenrod CopY <br />4294 -ee Rev. e-9e yl,pereedoe 4-742 -6e Rov. 10-96 <br />sign <br />here <br />DEPARTMENT OF REVENUE - White and Canary Copies <br />TAXPAYER - Pink Copy <br />e- <br />