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04/28/2004 15:55 FAX 14024714429 f Or NEBRASKA UCC 121003/004 200404214 W 5 o of f1640 _ ucc 990433e917 -7 Pos: 1 VEROUGO FRANCISCO J Filed; 04/28/28e4 12:06 PM State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination DO NOT WRITE IN Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nebraska Identification Number Tax Category Social Security Number Spouse's Social Security Number 39475301 22 460 -17 -2592 Lien Serial Number Lien filed with Date of Lien County 982050044 0 Register of Deeds E] County Clerk 07/24/1998 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name FRANCISCO J VERDUGO Street Address Street or Mailing Address 5020 OLD HWY 30 City State Zip Code City State Zip Code ALDA N E 68810 Type of Action _.�ro �• TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number r r� County Instrument Number 98110503 TAX YEARS (corporate, Individual income, and withholding tax only) W5 - ❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) UCC Instrument Number County Instrument Number ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the NeDrasKa ueparnnem o deter ' tion of rmination, artial release, or sign {► rpm here epar Sign re A orized Signaluye s with the revenue aws of the State of NebraSKa in aV�bii,`�,o�rr wo I/- s / Dake Telep one Number Date 4. 232-86 Rev. 8-96 Supersedes 4- 232 -69 Rev- 10-95 IV