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01/21/2004 <br />10:18 FAX 14024714429 NEBRASKA UCC <br />�t 5-r U <br />Social Security Number <br />7939248 <br />Please return to: <br />47- 0807167 <br />STATE OF NEBRASKA <br />Lien Serial Number - .. <br />DEPARTMENT OF REVENUE <br />Date of Lien <br />1811 WEST 2P ST STE 460 <br />3 -12 -441 <br />GRAND ISLAND NE 68803', <br />Or <br />neQSM1Fk1 <br />doVad�lrrrlt <br />ot�evenw <br />IM 002/002 <br />N[ sec of SA666 - ucc Tas <br />9904313338 -4 Pas: t <br />MF —GRAND ISLAND INC. <br />Filed: 01120/2004 11:07 AM <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <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 Nebraska <br />Department of Revenue against the below named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />Tax Category <br />Federal Identification Number <br />Social Security Number <br />7939248 <br />01 <br />47- 0807167 <br />Lien Serial Number - .. <br />Lien filed with - ,- <br />Date of Lien <br />County <br />3 -12 -441 <br />E Register of Deeds .o Cduhtq- ,Clerk <br />12/16/2003 <br />Hall <br />BUSINESS NAME AND LOCATION- ADDRESS. _ .... . -, . <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name - - -••• -•.- _... <br />_ <br />Name <br />MF -Grand Island, Inc. <br />Street Address <br />Street or Mailing Address . <br />2808 Old Fair Road, Suite K <br />City <br />State Zip Code <br />City State <br />Zip Code <br />Grand Island NE <br />68803 <br />Type of Action <br />X❑ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 990330901 <br />County Instrument Number 2 0316204 <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />Q SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />sign ���� Revenue Senior Agent 01/14/2004 308- 385 -6073 <br />0. <br />here Preparer's Signature Title Date Telephone Number <br />10. Revenue Supervisor 01/14/2004 <br />Authorized Signature Tide Date <br />4- 232.65 Rev- 6 -96 Supersedes 4- 232 -69 Rev. 10.95 <br />\fin <br />