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07/14/2004 08:32 FAX 14024714429 NEBRASKA UCC_- ___ IM002 /003 <br />Or <br />nebraska <br />department <br />of revenue <br />200406920 <br />TU <br />Paz: 1 <br />R <br />13/2004 04;10 PM <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TE�t " i' Of STATE TAX. LIEN <br />INDIVIDUAL INCOME TAX <br />IE YOU iNW —lRE ABOUT YOM <br />ACC€3UNTs REFER TO THESE NUNWERS <br />♦SGCtt SEC. NO w <br />1'lEBRo IDENT• - NO& <br />SPOUSE S OC O ' SEC a <br />TAXABLE YEAR <br />LIEN. fM- <br />LI.EN RELEASE NO* <br />COY , <br />DATE CE NOTICE <br />Mae <br />INSTRUMENT ND= , UCC <br />INSTRUMENT ..NO* CTY <br />5059D98.08 <br />99621185 <br />a22 W VAUGH ST <br />;RAND ISLAM NE 688?3 <br />YUR5UANT , TU THE REVENUE LAWS OF THE STATE OF NEBRASKA* : NGTICE IS <br />HEREBY GIB BY THE BRASKA DEPART NT OF:REVENUE THAT THE <br />STATE : TALC LIEN WHICH HAS SEEM DULY FILED . AGAINST THE ,ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TABS IS TERMINATED- <br />I HEREBY CERTIFY THAT ,THEE NEBRASKA DEPARTMENT OF REVENUE : 4AS. COMPLIED <br />WITH THE ZEVENUE LAMS CE THE STATE € F NEBRASKA IN THE DETERMINATION OF <br />THIS TERMINATION% <br />.:�•a w��aaia <br />PREP . "RT.S " AT' E <br />s as�wssi�i,srl,raa�a <br />AUTWRIZED SIGNATURE <br />'J l��fa•.!� <br />� <br />a� as a•Sa a+�s <br />1R,���aaa rs+� <br />TITLE <br />DATE <br />-Ole I <br />,r <br />i a.s la iiwis a a a li a i a <br />aww <br />•aawwa�wiaaw.• <br />TITLE <br />DATE <br />PLEASE RETAIN THIS;NMICE WITH YOUR,PERNAMENT RECORDS. 3t <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed with goy ink on repyded paper 7- 1451979 Rev. 2 -2000 Supersedes 7- 145 -1979 Rev. 10 -1995 <br />