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01/29/2004 10:14 FAX 14024714429 NEBRASKA UCC IM 002 /003 <br />Or <br />n ebraska <br />department <br />afrevenus <br />200400855 <br />TOO <br />i AM <br />Notice of State Tax Lien <br />i <br />TERMINATION OF STATE TAX <br />INDIVIDUAL INCOME TAX <br />DO NOT WRITE IN THIS SPACE <br />If YOU IRQUILRE ABOUT YOUR <br />ACCOUNTv REEF in <br />-Rs: <br />Seca SEC* NO* 001342446 <br />4EBRa IDENT* NC. �8959175 <br />SPOUSE SOC* SEC NO- 365446994 <br />UL <br />TAXABLE YEAR 1987 WESLEY IYO C R HE WAY <br />LIEN Na. 000205180 PT Sox 181 <br />LIEN RELEASE NO. 0401JOGOC. GRAND ISLAf� i IYE -fietgo <br />CVJM4TY HALL <br />DATE OF NOTICE <br />INSTRUMENT No W <br />INSTRURENT NO <br />PURSUANT TO THE REVENUE LAWS Of TRH STATE OF NTBRASkl-Af NaUCE 15 <br />HEREBY GIVEN BY .THE NEBRASKA DEPARTMENT or—REYENUE THAT THE <br />STATE TAX up-N inircm-14AS' BEEN DULY FILED AGAINST TWE ABCVE' NAMED <br />TAXPAYER'FOR IkarVIDUAL INCOME TAXES IV TERMI <br />a 0 t�ATED* <br />I HEREBY CERTIFY THAT THE VERRASKA DEPARTMEN Ul- REVENUE HAS COMPLIED <br />WITH THE i-NENUE. 's" <br />LAWS OF THE STATE OF NEBRASKA DETERMINATION OF <br />THIS I-tRMINATIGN'o <br />"EFARERRS 5 lb-N tc <br />ATUR.-- <br />rUl <br />ZE <br />A ORI S I-Gff A E <br />4a** im I Fee* <br />TITLE <br />T I l" L E <br />( -2-D -0 <br />DATE <br />7"6 <br />,/.-Mae f ....... <br />L ATE <br />PLEASE RETAIN THIS NOTICE VITH'YOUR! PERRAMENT RECIORDS. <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed with soy ink on recycAed paper 7-145-1979 Rev. 2-2DD0 Supersedes 7-145-1979 Rev. 10-1996 <br />