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01/29/2004 10:15 FAX 14024714429 NEBRASKA UCC Q003/003 <br />�°1 l <br />200400854 <br />NE sac of S /a /a - UCC TOE <br />i <br />i <br />9904314965 -8 POE: 1 <br />LOBO RIGOSERTo <br />Filed: el/20/2004 11:25 AM <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <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 Tax Category <br />8729387 1 <br />Lien Serial Number. Lien filed with <br />3/07/404 ❑X Register of Deeds County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />PLEASE DO NOT WRITE IN THIS <br />Social Security Number <br />505 -41 -0818 <br />Spouse's Social Security Number <br />Date of Lien County <br />07/24/2003 Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />Rigoberto Lobo <br />Street Address Street or. Mailing Address <br />106 East Third Street <br />City State Zip Code City State <br />Zip Code <br />Grand Island NE 68801 <br />Type of Action <br />X❑ TERMINATION OF TAX LIEN, The State Tax Lien Is hereby fully terminated. <br />UCC Instrument Number 9903287909 <br />County Instrument Number 2003098 4 <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 />TAX YEARS (corporate, individual income, and withholding tax only) County Instrument Number <br />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 01/20/2004 �3dg- ��! -LvD73 <br />here 4Auth&ized Title Date Telephone Number <br />► _Revenue Supervisor 01/20/2004 <br />Title Date <br />4 -232 -68 Rev, 8 -96 Supersedes 4- 232.69 Rev. 10 -95 <br />Please return to; <br />-_ _- - - - - -- _ -- <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />001011100 _11 <br />alOrAiiiiE <br />NE sac of S /a /a - UCC TOE <br />i <br />i <br />9904314965 -8 POE: 1 <br />LOBO RIGOSERTo <br />Filed: el/20/2004 11:25 AM <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <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 Tax Category <br />8729387 1 <br />Lien Serial Number. Lien filed with <br />3/07/404 ❑X Register of Deeds County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />PLEASE DO NOT WRITE IN THIS <br />Social Security Number <br />505 -41 -0818 <br />Spouse's Social Security Number <br />Date of Lien County <br />07/24/2003 Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />Rigoberto Lobo <br />Street Address Street or. Mailing Address <br />106 East Third Street <br />City State Zip Code City State <br />Zip Code <br />Grand Island NE 68801 <br />Type of Action <br />X❑ TERMINATION OF TAX LIEN, The State Tax Lien Is hereby fully terminated. <br />UCC Instrument Number 9903287909 <br />County Instrument Number 2003098 4 <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 />TAX YEARS (corporate, individual income, and withholding tax only) County Instrument Number <br />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 01/20/2004 �3dg- ��! -LvD73 <br />here 4Auth&ized Title Date Telephone Number <br />► _Revenue Supervisor 01/20/2004 <br />Title Date <br />4 -232 -68 Rev, 8 -96 Supersedes 4- 232.69 Rev. 10 -95 <br />