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08/1 - 3/2004 13:06 FAX 14024714429 0J NEBRASKA UCC 200407931 Q002/004 State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination Type of Action ❑ TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. UCC Instrument Number TAX YEARS (corporate, individual income, and withholding tax only) County instrument Number 200400408 2001/2002 ❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) UCC Instrument Number County Instnment Number ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in determination of the termination, partial release, or subordination indicated above. S�_ sign 1 402 -595 -207 here Pre is Signat Title Date Teleph ne umber � jLV \� (T)A(\ J4/1-___ REVENUE SENIOR AGENT Authorized Signature Title Date 4232 -65 Rev. 6-96 Supersedes 4- 232.69 Rev. 1495 v I PLEASE DO NOT WRITE IN THIS SPACE Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nebraska Identification Number Tax Category Federal Identification Number Social Security Number 10666648 22 485 -52- 1460 508-64 -3344 Lien Serial Number Lien filed with Date of lien County 031640021 ❑X Register of Deeds ❑ County Clerk 01/06/2004 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name DENZEL R & CHERYL A BUSICK Street Address Street or Mailing Address 7921 E 77TH PLACE City State Zip Code City State Zip Code TULSA OK 74133 Type of Action ❑ TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. UCC Instrument Number TAX YEARS (corporate, individual income, and withholding tax only) County instrument Number 200400408 2001/2002 ❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) UCC Instrument Number County Instnment Number ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in determination of the termination, partial release, or subordination indicated above. S�_ sign 1 402 -595 -207 here Pre is Signat Title Date Teleph ne umber � jLV \� (T)A(\ J4/1-___ REVENUE SENIOR AGENT Authorized Signature Title Date 4232 -65 Rev. 6-96 Supersedes 4- 232.69 Rev. 1495 v I