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a� ��s� � <br /> ,�� �� <br /> � f��f.�i� <br /> 99 110263 "��� '���' ;'�� <br /> .���3���, � � '�in.� .�:;..� <br /> s�c�r s��i� <br /> �r� S#ate Tax l.i�n Statement of Termin ' <br /> � at�on <br /> �,�„ , or Certificat� of Partlal Relea�e or <br /> °�'""°'� Subardlnetion <br /> ��ri�,w <br /> PLEASE GO NOT WHITE 1N THISI 9PACE <br /> Pursuapt ta the revet�pe laws oP t6e S#ate of Nebraslc�,qotice is hereby <br /> gfven that the Staee Tax Liea which has been duly 81ed b,y the Nebraska <br /> bepartment o[Revenueagaiast tht belaw-named tsxpayer,is termfnated, <br /> pat�tfiaily released,ar subocdinated to the exteat iadlcated below, <br /> NeDr�ska Id�ntifcation Number Tax Cate�ory SoGal Security w Federal 1.D.1Vumber 8pou��s gocl�l s�curity N�mber <br /> ��8��82 � oi 4�-0304570 <br /> lien Serial Nurtsbsr Lien Filed VWth oata of Lien �,My <br /> 9/Q 8/�9 5 �Re�s�►o�oeed9 �Courrty Clerk 6$—2 0-19 9 9 HALL <br /> BLI$IN�$S NAME ANO LOCATION AQDRES$ TAXpAY�FI NAM�AND MAILING ADDRL�S <br /> Buafnass Nafne N�a <br /> � LARSEN PRTNTING COMPANY, INy <br /> Streel ACtlrass Sueet or Qthet Maaing Add�sss <br /> 724 47EST THxRD STRELT <br /> G� S�� $p�o� �Y 3tate Sp Code <br /> GR.AND T SLANA �IE 6 8$Q 1 <br /> " TYPE pF AC110N <br /> � [�T�RMINA'�Off OF TAX Ll�N, 'tha State Tax Licn is hereby fully tarminated. INBTRUMENT NUMBER 9�� Q <br /> �-�'�1"ADi'��ARS (corporate, Indlvldu�l income, and withholding tax only) 8 4 6�0 5 <br /> Q PAA'r1AL RELFa4$E, Tha State Tax Lion is partialiy releas�d as fa]lows. I�ISTRUMENT NUMBER �~����` � <br /> TAX YEARS {corporate, individual Inaome, and withholdtng t�x only) , <br /> �$tJBORDIPlATION. Tha State Tax Lion in subordinated as fallows. INSTRUMENT NuMBER <br /> hteturn to; <br /> • �; ti . <br /> S7ATE OF NEBRA8KA �y,���•�,� �, <br /> DEPARTMENT OF R�VENUE '� ' <br /> 1$11 VVEST 2ND 3T$TE 4@0 � . � � <br /> GRAND ISLAND NE 88803 <br /> Name of pa�tyr making request and respansib�e fvr filing certfnoate or par�al�elesse or subOrdina9on witt�eppropriale filing ofNcer. <br /> k hareby aertHy that tha NebraSka Departrrtent of Rovanue haa mplled wi�fha ravanue laws of t�e Staoe of Nebraska�n�he datarminatlon at the <br /> terminasion,partlal eas ar su rdirtatlan indioat�tl abova, <br /> �ign , 1��i � s��cr���--�d� <br /> here Proparar'eSignature e � f7�te THephoneNo, <br /> � ulhori:ae ig TAIa . .� � „ , � /o <br /> oae <br /> NEQqASKA DEPAR7MENT pF REVENUE-White 8nd Cenary Copies TAXPAYER• pink Copy C�UNTY OFFlCE•Goldenrod CoFy <br /> �.E32•@6 Rov,5�96 Suoaroedes�-P32.B9 Rw,�d85 <br /> �i�'d NOISIAIQ �'�'fl Wd��:ZS 6E. T� 1�0 <br />