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� � <br /> �� � . <br /> . tD c'a c� <br /> N C° c � <br /> � � � rT'Y <br /> � C rn � � � � � � <br />�, �"' <br /> o�� �`�` ° � � �. <br /> � �• � -� � t1Y -*, z N, ]� <br /> � � `'� o <br /> O � rn 4� � `� n � � <br /> 1�0 `-� m <br /> Cv � Ev � <br /> 9�- 1+�3963 N � n <br /> � � �--� � � <br /> t�,` � GJ7 � i�J �. <br /> C�i � � <br /> O <br /> �� State Tax Lien Statement of Termination y <br /> �Ir - <br /> c or Certificate of Partial Release or -� <br /> nabraska <br /> ���•M Subordination <br /> of nvanw <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> Pursuant to t6e 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 /> 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 /> 6400043 Ol 379-64-9712 429-21-3991 <br /> Lien Serial Number Lien Filed With Date of Lien County <br /> 2 �6 18 7 Register of Deeds ❑co�nty c�erk 0 6-1�—9 2 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> B E K I <br /> Street Address Street or Other Mailing Address <br /> City State Zip Code City State Z.ip Code <br /> TYPE OF ACTION <br /> �TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 2-10 5 3 41 <br /> 9G -/oi�5�� £ <br /> TAX YEARS (corporate, individual income, and withholding tax only) � <br /> I <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 /> I <br /> Name of party making request and responsible for filing certificate of partial release or subordination with appropriate filing oificer. <br /> I hereby certiip that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br /> termination,partial release,or subordination indicated above. <br /> si9n � ���,,_ � ' , c.�y>3�s-,c o�v <br /> here Preparer's i a re Title Date TelephoneNo. <br /> Q�� oriz ig e rrtle te � 9 <br /> NEBRA KA DEPARTMENT OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&98 Supersedes 4232-68 Rev.10.95 <br />