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03/30/2004 10:29 FAX 14024714429 NEBRASKA UCC IM002/004 <br />Ion, <br />Or <br />Or MaNVAfto <br />200403045 <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />State Tax Lien Statement of Ternai,nation <br />or Certificate of Partial Release or <br />Subordination <br />I Type of Action l <br />0 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number Filed 09 -19 -97 <br />County Instrument Nu97- 763 <br />TAX YEARRS (corporate, individual income, and withiibiding tax only) �_ <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />deation of the terminatio , partial release, or subordination indicated above. <br />sign Revenue Agent 03/22/2004 308 385 -6067 <br />here Preparers 4Signiaiture Title Date Telephone Number <br />Taxpayer Services Supervisor 03/22/2004 <br />thorize Title Date <br />4- 232-68 Rev. 8-96 Supersedes 4- 232 -69 Ray.10 -95 <br />PLEASE DO NOT WRITE IN THIS SPACE <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 <br />Tax Category <br />Social Security Number <br />Spouse's Social Security Number <br />7392699 <br />1 <br />505 -94 -2960 <br />Lien Serial Number <br />Lien filed with <br />Date of Lien <br />County <br />7/09/326 <br />IR Register of Deeds ❑ County Clerk <br />09/13/97 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS_ „ <br />Business Name <br />Name <br />Terry W Huffman <br />Street Address <br />Street or Mailing Address <br />947 S Oak Street <br />City State Zip Code <br />City State Zip Code <br />Grand Island NE 68801 <br />I Type of Action l <br />0 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number Filed 09 -19 -97 <br />County Instrument Nu97- 763 <br />TAX YEARRS (corporate, individual income, and withiibiding tax only) �_ <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />deation of the terminatio , partial release, or subordination indicated above. <br />sign Revenue Agent 03/22/2004 308 385 -6067 <br />here Preparers 4Signiaiture Title Date Telephone Number <br />Taxpayer Services Supervisor 03/22/2004 <br />thorize Title Date <br />4- 232-68 Rev. 8-96 Supersedes 4- 232 -69 Ray.10 -95 <br />