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-- _ <br /> � � � <br /> ca c� cn <br /> � � � <br /> m �� � <br /> � r�n <br /> � � � <br /> o � ° � � � <br /> -n � � z <br /> ' � �"� t.� <br /> � = rn <br /> � r°r1 I� m GJ t�D <br /> Ci � Y" D �' 6y <br /> C!� � (/� V� <br /> � � � � � <br /> A ;,yir rn <br /> � ,. �.i�.i �"'p� <br /> ~ � v' � 3 <br /> � <br /> � <br /> � <br /> r.. <br /> State Tax Lien Statement of Termination ° <br /> �iror Certificate of Partial Release or <br /> n�braska <br /> ��^•M Subordination � <br /> of rwenw <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 Nebrastta <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 Tax Category Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 38543826 22 507-06-7996 <br /> Lien Serial Number Lien Filed With Date of Lien CouMy <br /> 9 719 2 015 3 �J Register of Deeds ❑co�rny ae� 10—31—9 7 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name tJarne <br /> KENNETH R BEERMAN <br /> Street Address Street or Other Mailing Address <br /> 1924 W 38TH <br /> City State Zip Code City State Zip Code <br /> KEARNEY NE 68847 <br /> TYPE OF ACTION <br /> [�TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 7-10 9 8 41 <br /> TAX YEARS (corporate, individual income, and withholding tax only) 19 9 2 19 9 3 19 9 6 <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 request and responsible for filing certificate of partial release or subordination with appropriate filing officer. <br /> i hereby certify that the Nebraska Departrnent of Revenue has comptied with the revenue laws of the State of Nebraska in the determination of the <br /> ter 'n on,partial rel or subor ination indicated above. <br /> sign �� �- ��;���cc� /�- �d�3�s t�b�Z <br /> here � arer'sSignature Title Date TelephoneNo. <br /> �a� , ,�P�� e�.�.�.�,s•�/ <br /> Authorized i na re �itle te <br /> NEBRAS DEPARTMENT OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232�68 Hev.&96 Supersedes 4232-68 Rev.10.95 <br />