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09/24/2004 15:09 FAX 14024714429 NEBRASKA UCC 141004 /005 <br />r <br />IM Soo of f1o4w - ItCC T9m <br />G.. <br />i <br />i <br />200409464 9944351959-2 P <br />PIled: OW2 W 30 JOSE 9 <br />Filed: 09!2372°04 04:29 PM <br />�Ir <br />nebraska <br />deportment <br />of revenue <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERINWTMV Of STATE ?AX LIE! <br />IMI'VIDUAL INCOME: TAX <br />IF YVU INQUIRE ABOUT YOUR <br />ACCOUN -T y REFER TO THESE NUMBERS:, <br />Soc• SECs . <br />NEBR. IDENT• NC. <br />SPOUSE SOCS, SEC. <br />TAXABLE YEAR <br />LIEN NO. <br />LIEN RELEASE NC. <br />CCUt *Ty <br />DATE OF NCTZLc <br />No <br />INMUMENT too. UCC <br />INSTRUMENT NOw CTY <br />42DS'1274 <br />2000 JOSE D PTZAP-RC— VFRNEJG <br />022490242 1413 N 5TH <br />042542203 9RAND ISLAND NE &9,501 <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRAsr,Av NOTICE is <br />HEREBY vsV-r-N BY PiE :NEBRASKA DEPARTMENT CI- REVENUE THAT THE <br />STATE TALC LIEN WHICH HAS BEF-if DULY HLED AGAINST THE ABC.VE NAMI EC <br />TAXPAYER FOR INDIVIDUAL INCOME 't AYES IS TERNIiiATE'i3. . <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS CF THE STATE CF NtERASKA IN THE DETEFNIMAJIUN OF <br />THIS TERMINATION. <br />"ho <br />PRE?�AREER"S SIGNATURE <br />.s.....s. ss�si000 :0 <br />AUTHMRIZEID SIGNATURE <br />+rw.arsa, -'� 'rs�rras�asa <br />TITLE <br />l� ire <br />so n . s..s..r.sa.�esss�s.s <br />T ITL: <br />...sirs. s.ss.s.rs <br />DATE <br />•rsf-.��r/s ��.srar <br />DATE <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br />L <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed with soy ink on recycled paper _ _ 7- 1451979 Rev_ 2 -2000 Supersedes 7- 145 -1979 Rev. 10.1995 <br />