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05/05/2004 08:26 FAX 14024714429 NEBRASKA UCC [002 /002 <br />,ter <br />OR <br />r <br />A <br />*14domm <br />of"WO <br />200404461 <br />Two <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />X❑ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number'V99102169 <br />County Instrument Numb"__B.K99 69 <br />TAX YEARS (corporate, individual income, and withholding tax only) Sled 3 Ll 11 <br />PARTIAL RELEASE. The State Tax Lien is par4ially -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. UCC Instrument Humber <br />County Instrument Number <br />PLEASE RETURN COPY OF <br />FILRD LIEN TO: <br />NEBRASKA DEPT OF REVE�7UE <br />Fers t Fedz.-+4( .6 u r ly"U. . <br />4- P,f-4 -- wr- ..ail—d S4- .Cf•e.. y &O <br />G,r'.,,naf 2X /and ti�fr b QO os <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />dete Aiination of the termination, partial release, or subordination indicated above. "- <br />sign / REVENUE AGENT � % 402 370 -3345 <br />9 Pre ' ature Title Date Telephone Number <br />here p <br />Authorized Signat Titled ate <br />4.232 -68 Rev. 8-95 Supersedes 4- 232-69 Rev. 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 />19378459 <br />22 <br />506 -72 -9963 <br />Lien Serial Number'. .. - <br />Lien filed with <br />Date of Lien <br />County <br />983100020 <br />191 Register of Deeds ❑ County Clerk <br />11/06/1998 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name pmitiOU5 Aeldre$; <br />THOMAS J. IWANSKI go j i vy ;S' / kr•IC k <br />Street Address <br />Street or Mailing Address &Mmd <br />2854 EASTBROOK DRIVE <br />City State Zip Code <br />city State Zip Code <br />COLUMBUS NE 68601 <br />Type of Action <br />X❑ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number'V99102169 <br />County Instrument Numb"__B.K99 69 <br />TAX YEARS (corporate, individual income, and withholding tax only) Sled 3 Ll 11 <br />PARTIAL RELEASE. The State Tax Lien is par4ially -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. UCC Instrument Humber <br />County Instrument Number <br />PLEASE RETURN COPY OF <br />FILRD LIEN TO: <br />NEBRASKA DEPT OF REVE�7UE <br />Fers t Fedz.-+4( .6 u r ly"U. . <br />4- P,f-4 -- wr- ..ail—d S4- .Cf•e.. y &O <br />G,r'.,,naf 2X /and ti�fr b QO os <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />dete Aiination of the termination, partial release, or subordination indicated above. "- <br />sign / REVENUE AGENT � % 402 370 -3345 <br />9 Pre ' ature Title Date Telephone Number <br />here p <br />Authorized Signat Titled ate <br />4.232 -68 Rev. 8-95 Supersedes 4- 232-69 Rev. 10 -95 <br />