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04/28/2004 15:55 FAX 14024714429 <br />Or <br />> <br />o� ►ems« <br />NEBRASKA UCC <br />-- 200404213 <br />Am <br />File <br />2004 12:06 PM <br />Z002/004 <br />State Tax Lien .Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <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 <br />29834260 <br />Tax Category <br />RX <br />Lien Serial Number Lien filed with <br />012570284 XD Reglster of Deeds [] County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />DO NOT WRITE IN THIS <br />Social Security Number Spouse's Social Security Number <br />508 -04 -9623 508 -86 -3243 <br />Date of Lien County <br />09/14/2001 HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />KELLY & JONI ADEN <br />Street Address Street or Mailing Address <br />1913 W STATE ST <br />City State Zip Code City State Zip Code <br />GRAND ISLAND NE 68803 <br />Type of Action <br />TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully terminated. UCC Instrument Number _ M2228723 <br />County Instrument Number 200207934 <br />TAX YEARS (corporate, Individual income, and withholding tax only) 1998 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />dete ination o e termi n, partial release, &ubor6dination indi ted above. C <br />sign tepnone �� Number <br />Prepa�r, 's Signature / Title <br />here. zz- a <br />Date <br />g'thorized Signat re 'tie <br />/ 4- 232 -68 Rev. 9-96 SuPe� =�- 4232 -69 Rev. 1 -95 <br />4 <br />