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AUr� 17 '9'� 1��0�AM U.C.0 DIVISI�N P.�!� <br /> , <br /> fltEu 8,�$'�"7i � <br /> � h� 11CC��!Y. � <br /> ; ,.�9 �'J� 16 A� $�-:DO <br /> 99' j��,�'► �fGiY_SiAi�, <br /> � � State Tax Lien Statement of Terminati�n <br /> �r . . . . <br /> - n�hrrrk� i <br /> or Cert�f�cate af Part�al Rel�ase or <br /> °'a"°"'"t ' Subardinatian <br /> or r�wnw^ � i <br /> LJ PLEASE Do NOT WFiiTE IN TF�IS SPACE• <br /> Pursuant to tJ:e revenue laws of tbe State of Nebr�.ska,aatice f�s hereby <br /> glven that the State Tas�,,ien w�ich has beea du1�flled by fhe Nebrasks <br /> Department oFRevenueagaxast the b�law-named taxpayer,fs terminated, <br /> p�rtieliy releas�d,or sabordinated to the exteat indlcated be[ow. <br /> � <br /> NeDrasKa ItlenGfication Number Ta�c Category SoGSI Security or Feaeral I.D,Numder Spouse's Socla�Secufity Numb�r <br /> 7693444 � pl 471-9��40G6 <br /> Lien 3erlal Numbpr Lign Fil9tl Wifh O�ts Of Li9rt Cp�y <br /> 910 3/3 3 7 Reg�ster at o�es ❑c,�,�,ry cie�x ,0 3—2 6-19 9 9 HALL <br /> BUSINESS NAME AND tpCqTION ADDRESS TIUCPAYER NAME AND MAII.ING AtIDRESS T� <br /> 8�siness Name Name <br /> TOMMY A WILDE <br /> Stroet Aaaross 3treet or Other Ma'�'in�Addresa <br /> 3944 CALVIN DRIVE <br /> cRr e � 9p e city s�e rp c.�d� <br /> � D �? � �r�.v� zsr�n �t� �g$01 <br /> FE OF ACTION <br /> A AX LIEN. The Sca�e Taa ' is hercby fully terminated. INSTRUMENT NUM8E�1 99�1Q3274 <br /> TAX YEAAS (corppr8�te, indivlduai Income,and wflhholding tax oniy) <br /> Q PARTIAL RELEASE. �bc Statc Tax Licn is partially reieased as follows. INSTRUMENT NIJMSEFt <br /> TAX YEARS (corporate, Indlvldual Income, �nd wlthhotdieg tax only) � <br /> �SUBQRDINATION. �he State Tax Licn is subordinated as foll�ws. 1NSTAUMENT NUMBER <br /> ' Name of pelrty making re4u95t dnd r6spOr19ib16{or fidng aertifiCete of paetial ralasse or suDOftlinsliolt wiih appropriatA filing o(fiCAr_ <br /> I hereby certlly tnat tne Nebraska Departrnent ot Aevenue has compWed wf�y 1he revenua�avrs of Ine State oi N�braslca in tAa de�emunatron of the <br /> te�lnarion,parha�►�loase,or subo inallon ind�cated above; <br /> Sl�li ' �/,� �,,� <br /> h�rr raparer's i r 1'1tle r �—' —"� Date � 1'al�N�p-�7� <br /> � oru r r�te + ��— <br /> N�9 DEPARTMENT OF REVE E-White and Cdnary Caples TAXPAYER-Pink Copy COUNTY DFF10E-Gotdenrqd CopY <br /> 4�232�6 Rer.a9B supw�4,�32-88 Rev 1aA� <br />