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� .il_'.L 3N '99 04��2PM U.C.C UIVI�Ic�N F.S�7 <br /> . . , . . ������ .. . <br /> V� . <br /> FIIED <br /> � NE tlCC �iV <br /> 9 9 �0'�7 0'� : <br /> �9 JUL 3 o Ai� �� <br /> . sFCrr,srAZ� <br /> , , <br /> State 7'ax Lien Statement of Termination <br /> � or Cer��fi�cate of P'artiat Rei�sse or <br /> �,,,� Subordinatian <br /> °�""�"'� PLEASE DO NOT WRITE IN TFifS SpACE <br /> ✓ � <br /> Puisuant tv the revenue)sws oi t6e State of Nebrasks�notice is bereby � ' <br /> given that tlte Stat�Tex L.9en wbtc6 has been duly�L�d by the Nebrasl�a <br /> Depart�neut ofRevenue�gain�tthebelow�named taxpayer,is terminated, <br /> p�rtially r�leasod.or subordinsted to t6e extent i�dic9ted below. <br /> Nebrsaka IdentRioation Number Tax Catagory soeial SeCUrity a�Federal I.D,N+xnber SpQUSe'��acial Securiry Numb6r <br /> 6988�36 O1 507-5Q-4B 7 5" � — , <br /> uen sarlal Nurn�r uen Rle,d whh nmo ot u� �Y <br /> $/07/374 �,]Rag�sterofoaede ❑Cour++vc�a+c �— —]. 8 <br /> BUSINESS NAME AND LbCAT1QN ADQRES6 TAXPAYER NAME AND MAIUNG ADORESB <br /> Businass�vame N�° <br /> TH.�N <br /> Street Address Street nr O��er MaiGng Aderass <br /> PO <br /> Gity �lata �P Codo Gty Tp Coaa <br /> Q <br /> rYPe oF�noN �° <br /> TERMIHATION TAX LIEN. 'T`he State Tax Uen is hereby fully cerminated. lNSTRUMENT NUMS —X07135 <br /> w.� ].998 <br /> RS (�orporat�a, Individnal I�come,and wiihholding tax or+ly)_ - <br /> ❑PAR1'IAL R�LFr4S�. The State Tax Liea is partislly celeased ss follows, tN�TRUMENT NUMBEA ' <br /> TpX y�qpg (corporat�, indlvldual ineam�,and wlt�sho�ding tax an1� — - <br /> ❑$UBORGINATION. 'Ihe State 1'ax Licn is subcrdinatcd ps follows. INSTRUMENT NUM��R __ <br /> �--�: ,�� <br /> , Name ot party maklrg raque8t and rosporreib{�tor filinQ C9rlf�ta 01 part�l rglaass of 84bQrd'uwfi0tl With ap0�iate ilmg otficar, <br /> I noreby c�siiy that+troa Nebrsska G�Pa��of Rov�rwe has complied wilh the revenue laws oi�e Stata of Nebraska 1n tl�e de4�rminaoon oterts <br /> tarrnk�ation,ps�rtial r� .o�� bo1'tlinalion Intlieaoed sbova. � <br /> sign �'D 3� � � <br /> here '� °� r�"° <br /> � �. , �e <br /> NES KA DEPAI4TM T OF REV�NUE•White and Canary Cap'�es TAXPAYER•Plnk Gopy COUNTY QFFlCE•Goldsnrod Copy <br /> .�r�a�se�,e�ss s�wxo.ee.�a�a.ee�.�as� <br />