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- ,�....—_._.............-----._.�.—_.. ._._..._------ <br /> �-�=� � ��i i�iii�ii�iiii�i�iii�i�������f���ii����� <br /> �"r J9980019Q70 Pea. 1 <br /> Li1JDERWRTER PET WORLp RND SUP�' <br /> Filad. 1572"rtt999 C3•59 PM <br /> 99 i ����� <br /> � �#�te T�x Li�n Statement of T��mination <br /> �� <br /> ' dr �er��fi�� of �rtl�l Reiease ar <br /> ���� SubQrdinati�n <br /> �.���. <br /> . , . PL�A$E OQ NOT WRITE(N THIS SPACE <br /> Pur�uent to the reve�aue lav�oF ffie State�f Nebra�kko,notice is hereby <br /> give�t�et Ehe State Tax X..iep which has beeo du�y l�led b'the l�e6rasitor <br /> Dep�rtment vfRevenue against the belaw-pgmed taxpayer,is terminated, <br /> pantielly released�or�ubordineted to the exte�►t indtcated below. <br /> Ngbraska laentificaNOn Numoe► Ta�c Caoagory SoWa�8ecuriry o�Federal f.D,Number Spouse's socia�Securtty Number <br /> 7698992 2z <br /> �i6�t 89�ia1 NumDer Lien Faed With D�te oi uen County <br /> 9 d 5 3 5 6 Ragiater o#Deeds [�courny ctark <br /> BUSIN�SS NAM�AND LOCATION ADDREB$ TAXPAYER NAlill�AAID MAI�ING ADbRESS , <br /> BusinASa N�1mB N,g� <br /> r <br /> � <br /> SereetAddrase Streetor Other Ma�ling Address <br /> Cny 9taDa �pCode CiRy Slate Zip�cad� <br /> TYPE OF AC�ION ,�"' ,f", • .". �� <br /> � <br /> �TEEi�IlINATlON,GF TAX LIEN. Th�State'tax t.ion is harcby fuliy tarminatad. INSTFI�lMEMT NUMBE – �_ 3 <br /> r�t vEnps �co�oraee, indwidu�i +ncome, and withholding t�x only) 19 9 8�.y <br /> I,]PAATWL REL�ASE. The 3t�te Tax Lien ia,partially re3eascd as#ollow�. INSTRUMENT NUM�ER <br /> TAX Y�ARS (oorperate, indivldua! inoom�, and vi►Ithholdl�g 1az anly� <br /> �SUBORDINA710N� The State Tax Lten is subordinatad 8�Fc�llows, IN6TRUM�NT NUMBEA <br /> Retum to: - -- <br /> 8TA7k OF NEBRA�KA <br /> pEPARTMENT OF i�EVENUE <br /> 1811 WESl"2NQ ST STE 48D <br /> GFip,Np is�AND NE a88D3 " <br /> Name of psrry makin�requeat arnt responsiblatbr filing ceRifioate af partial release or eubordination with appropriata filing oifieer, <br /> I nereby certify that the N�breska Department of Revenue h mplied witM tl�ravortua laws af tne Sta1s af Nebraska in th�deSermfnation of the <br /> terminad ,par0al e,or subortlinatian Indlcated above, � <br /> si+g n ; �� � � -� ��1 '' .ra��'a��'���:� <br /> here � �r �s Igna Date T�IaphonaNO. <br /> �° � . � <br /> � r! ► �.�,�r�,.-. +- �s��.+G;yr �`�'" Daee � �. j <br /> NEBRAS D�PARTME d�REVEN E-Whhe and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE•Coldenrad Cop}� �_,,ff11 <br /> a-232•BB Rav�eB s�perseaee��s2.ee Rav i o-9s.� <br /> EiE'd N t�I S I r^,I Q �'�'f l w d e s:�a 6 6� 8� :7 3 Q � <br />