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12/18/2001 15:53 FAX 14024714429 NEBRASKA UCC 1002/002 <br />4 . • .S <br />200113069 <br />State Tax Lien Statement of Termina tion <br />Ir or Certificate of Partial Release or <br />ral I Subordination <br />Vq fwen90 I PLEAtB DO NOT wRiTE IN T1i10 OPAL! <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Lien whkh has been duly filed by the Nebraska <br />DepaetmentorRevenue against the below -named taxpayer, is t"Tanated, <br />partially released, or subordinated to the extent indicated below. <br />Nebraska IdemMoetivn Number Taxcatawy 8001e1 8aeuray or Faderal I.D. NUMbW apmas's loclal sacurlty Number <br />32849281 22 462 -21 -5284 <br />Lien Serial Number Ller+ Filed W11t1 We of UW courAy <br />9 2 3 0 5 0 0 0 5 ® Asomm of Deeds p many cle* 2/27101 HALL <br />BUS INE88 NAME AND LOCATION ADDRESS TAXPAYRR MIME AND MAILING ADDRE35 <br />9usin"I NVM Nile <br />JOSE F MORALES <br />s:raalAddr a: Sheet or omw Mainng Address <br />319 S WALNUT APT 201 <br />CIV State ap code <br />5nta EP <br />GRAND ISLAND NE 68801 <br />® TERMINATION Of T LIEN. Tho State Tex Lien is hereby ?ully terminated. iN'TRUMENT NUMBER <br />•, IndNidud Income, and wlthholding tax only) <br />PARVAL RELEASE. The State Tax Lien Is partially ntewd u failoWL INGTRUMF.NT NUMBER <br />TAX YEARS (eotporMO, Individual income, and withholding tact only) <br />❑ SUBORDINATION. Tit• State 'Pax Lien Is subordinated es follows. INSTRUMENT NUMBER <br />P1eaa rehua to: <br />STATE OF NEBRASKA <br />DEPARTNTM OF REVENUE <br />1511 WEST all ST STE 460 <br />t3RAND ISLAND NE 68803 <br />Name o! party makirt0 reauesl ono rsepanaiDWfar *Of pwU noise tr subwdindon wier a ufllaer. <br />I hussy that the NOW"" Depwarwo of Revenue has Compiled whh the ramwe lam ai e» state of Netxeok4 to she detaenlnauw of va <br />lermina' ass aibordinaaon krdiceted sbevt4 <br />sign 000' <br />s nature <br />here <br />d e <br />Ito and Canary Co91es TAXPAYER - Pink Copy COUNTY OFFICE • Qaklenrod Copy <br />NEBRASKA pEpgpT`tis1:NT QF REVENUE - <br />Tp -d Tt09 S8£ 90£ I3 anN3A321 3N W'd TZ =TT TO— Z1—:j3a <br />