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,, .- ..........------._—._.........__ ., .. <br /> '�-R'� i�� �N8 5ov oF 54efu - J[t pp <br /> '� ` � I lIIII�II(N l����I�I�!1�If I II���{I���lII <br /> �� <br /> 9998d01898 P�c. � <br /> UNDERWATER PET WdR�D 8� SUPPL,`! <br /> Filad 171Z7/1998 03.59 Prl <br /> �� � ����� <br /> � St�te Tax �ien Statement of T�rmina#ion <br /> �r <br /> ar Cert�icat� af Par#�al Release or <br /> '�`"'� Subardinati�n <br /> ���.�r <br /> et�wanw <br /> PLEASE DO NOT WRITE IN THI$SPACE <br /> PNrsuant to t�e revenue law�of the State af Nebraska�aoiice i�here6y � � <br /> given that the Slate Tex Lien which has been dulx�Ied by tbe Nebraslca ' <br /> Department of Revenue aguinst r�he below-nanned taatpayer,is termineted, <br /> parttaliy released,or s�abor�inated to the extent indicated betow. <br /> Nsnraska id�nti�ieation Number Taz Cat�gory eoeiat Sacuriry or Fsticral t,o,Number 9pouse'a g��Hl Security Numbsr <br /> ��ggs�a oi <br /> Lien Seriat Number Lisn Fllee Wltn pate at Lien County <br /> 7/1�/3 5 2 ��891e�f�Deeds �Gbunly Clerk 10-�2 2-19�7 <br /> BUSINESS NAME ANO LOCA7'ION ADDRESS � TAXPAY�R IMAME ANC►MA14.ING Ad4RESS <br /> guai�ess Namn Name <br /> INC <br /> 9treet Address Str��t or�ther MaiNng Addresa <br /> 1 <br /> r+ry srare z�v co�e c��y ssase Zip Code <br /> TYPE OF ACTION �.°- "�W-.,.. ".. ..,w <br /> ��'�RMINATION QF TAX LIEN. The State Tax Gen is heraby fi,�iay temtinated. INSTRUMENT NUM9ER '�7– 4����" <br /> ,�� <br /> TAX Y�ARS (corparate, fndividuat Income,and withholding tax only� ' "' <br /> ❑PARYIAL RELFASE. 7'he Steta Tax Lien is partially r�laased as follows, INSTRUM�NT NUMBEFI <br /> T117C Y�AflS (c�rporate, Indlvldual income, and wlthholdtng tax only� <br /> []$UBORpINATION. Tha Statc Tax L,ian is subordinated as follows. INSTRUMENT NUMBER <br /> Retum to. --� - <br /> STATE OF IdESRASKA <br /> DEPAFtTMENT O�REVENUE <br /> 1 g�y 1/VEgT 2Np ST S7E 480 <br /> GRAND l8l,.AN�NE 68803 <br /> Name 4f party makrng request and respons�bla tar fillnq aertihcate of paroai release or subordinatlon with appropriate filing offi�er. <br /> i here�y certity that the Nauraska Depsrtme�t of Revenue has p�ied wieh the reven e laws of ths 91atc of Nebreake in the determination of the <br /> term;nation,panfal re�ea, ,or su ordination tndroeted aGove, y <br /> iaa ` <br /> �i „ , <br /> ii��'I { r ��� � 1 ���r+_����7 <br /> here Praparar' Signatur � N� I7ato Te{ePhone No. <br /> ..� t��� �..� ���,," �... �r <br /> � Au�nor� n r ma oa <br /> NE6RAS DEPAFt ME OF REVEMU •WhJte and Canery Copies TAJtPAYER• Pink Copy COUNTY pFF10E-Goltlenrod Copy <br /> 4-x3z•ea Ag�.�ss s��w�o-rs:-49 Rw,tG•9�.� <br /> �•��•� N��ISIAIiI �•�•n w��a:sa �,b, �4 ��� <br />