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11/27/2001 15:07 FAX 14024714429 NEBRASKA UCC laoo m <br />m <br />200112177 <br />Or <br />Notice of State Tax Lien <br />nepraeka <br />eeDSnmere <br />01 revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Please mtum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST VD ST STE 460 TERMINATION 13F; STATE TAX LIEN <br />GRAND ISLAND NE 68803 ` INDIVIDU,%L INC13ME TAX <br />IF YaU INaUIRE J1I3Ott � -YC� iR <br />ACCGUNTY REFER TO THESE NUMBERS'. <br />SOC. SEC, NOa 5062Eigna <br />NEBR. IDENT• NO- 12377023 <br />SPOUSE S!3C. SIEC, Not <br />TAXABLE YEAR 1483 GLENN W HOLLISTER <br />LIEN NQ* 035714276 10;13 H EDDY <br />LIEN RELEASE Nil. 013131043 GRAND ISLAND NE 6BB01 <br />COUNTY HALL <br />DATE OF NOTICE 11109J2001 <br />INSTRUMZN -r NUJ. a` }' <br />PURSUANT TO THE REVENUE LAWS GF TH _ 3TAIF OF _,3RASXAP NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN W4ICH HAS BEEN I;ULX FILED ASAINST THE ABOVE NAMED <br />TAXPAYER iOR.. INDIVIDUAL INC(3M-9 TAXES IS TER,NINATFD+ <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COKPLIED <br />WITH THE R'EVENM LAWS GF 7HE STATE Or- NZERASKA IN THE UETERNINATICIN OF <br />THIA TTEIZNINATIVN• <br />PREPARER *S SIONATURF <br />AUT I D ST N URE <br />.0 ai. �'• *,as** 000 s.. as a a..,. <br />TITLE <br />TITLE <br />..`j -i s <br />DATE <br />ATE <br />NEBRASKA DEPARTMENT OF REVENUE— White and Canary Copies TAXPAYER — Pink Copy <br />rnbd with soY ink ort reCYpr�AePer T- 145.1979 Rev. 2 -2000 Supereadm 7- td5.1979 Rev. 10.1995 <br />P ; `i ` <br />