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�� <br /> . �� <br /> • ' ' . �����'� <br /> ��ftf� <br /> '�ic 11C� p11� <br /> 9 9 110 3 31 � ��� �� .�,M �:��p <br /> SE�TY STAZ�E, <br /> � State T�x Lien Statement of Termination <br /> �� <br /> or Gertificate of Partial Release or <br /> �, <br /> d'P"�°"` Subordination <br /> arwaw. <br /> PLEASE DO NOT WpITE 1N THIS SPACE <br /> Pu�suan!to the reverlue I�wg of ihe Stabe oPNebraslca,notice ls hereby <br /> given that the St�te T�x Lien which has been duly 5led by the Nebraska <br /> Depe�tment o�Revenue asainst the below-named taxpaysr,is eerminsted, <br /> pert1a11y released�or subordinated to the extent indicated below. <br /> Nebraska Id�nq{�ion Number Tax Catego7 Soca��9ecurity or Federal I,D,Number gpp��q gpp;$I Socunty Number <br /> 7962053 O1 545-80-812Q <br /> �en$erlal Numbar Lien FII�C With pat�p1 Lisn CoW,ty <br /> 9/0 9/318 �egieter ot oeeas ❑co�,nty ae�k 0 9-18�19 9 9 HALL <br /> Bu$INE$S NAME AND L4CATION ADDRE$$ TAXPAYER NAME AND MAILING ADpqESS <br /> 9usiness Name �y� <br /> REGINA FARVOUR <br /> Streat Addre9s Street or Other Ma;iing Addrass <br /> 10 9 S C�UTH LANE <br /> c�ti s:a� �p co�e c�ti sr�n np CoC� <br /> GRAND ISLANp NE 68803 <br /> TYPE QF ACTIQN <br /> '��TERMII!lATION�OF TAX LIEN. Ttoe S�ata Tax Lien is hereby fufly terminatod. INSTRUMENT NUMBER 99-109516 <br /> . �,�'x"' <br /> TqX YEARS (corporate, Indl�ldual Incpm�, �nd withholding!ax only) �� 7��� _ b <br /> ❑PAATIAL qELEA►SE. Thu Stat�Tax Lian is partially teleased as follow3, itVSTRUMENT NUM@�ER <br /> TAX YEARS (corporote, lndividual Incqme, and withholding tax only) <br /> ❑SUBdRDINATlOM. 'tlie State Tax Lien i�subordinatad as follows. INSTRUMENT NUMBER <br /> _ �} <br /> e urn o: <br /> STATE OF NEBRASKA <br /> DEPARTMBNT�F REV�NU� <br /> , 1811 WEST 2ND ST STE 4B0 <br /> GFLAND ISI.AND NE 68803 <br /> Name of party makux,�raquast and rasponsible idr 61ing caRiflr,�te of parual release or subor�nation with appropriate�ling offreer. <br /> I hereby aeAHy Ihat tne Nebraska Deparlment of Revanua has, mpliad wi�h the revenua iaws ot�he staia ot Neeraaka in Ifie detarminaUon ot u,e <br /> twminatl� n,partlal r aese,orsuhortlinadon inaicatea adova, <br /> si9n � � ��l,�a • <br /> h�r� eper 'sSigna re e dato 7elephoneNO. <br /> � v �-�� o <br /> � AuMw� r�tle oete <br /> NEBRASKA DEPART T OF REV E•white and Canary Gopi�s TAXpAYER-Pink Copy CCt1NTY OFFIC�-Golden,raf Copy <br /> 42s8�Rw,69e 9uperaaaea a232•89 pev.+a9�s <br /> S�`Z'd NOISIAIQ �'�'fl l�dBti:Z� 66� �Z 1��� <br />