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10/08/2004 15:59 FAX 14024714429 NEBRASKA UCC Q002/004 <br />O�, <br />Or <br />200409919 <br />State Tax Lien Statement ofTermination, <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />X TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number C 32602Q.51� <br />County Instrument Number 200302328 <br />TAX YEARS (corporate, individual income, and withholding tax only) 4999 <br />PARTIAL RELEASE, The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />F1 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />r' <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />detaimination of the terminati n, partial release, or subordination indicated above, f <br />sign 41 W)4X6AAto Revenue Agent �� J �L 402 471 -5835 <br />here Preparers Signatu Title Date Telephone Number <br />Revenue Senior Agent /a `G —4 y <br />/A1ithbrized S nat re Title Date <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />Tax Category <br />Federal Identification Number <br />Social Security Number <br />34990860 <br />22 <br />505 -72 -4361 <br />Lien Serial Number <br />Lien filed with <br />Date of Lien <br />County <br />/20+7 3003Z- <br />0 Register of Deeds L—] County Clerk <br />02/14/2003 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />.DONALD P HAUSSERMANN <br />Street Address <br />Street or Mailing Address <br />4954 W HWY 30 #7 <br />City State Zip Code <br />City State Zip Code <br />ALDA NE 68810 <br />Type of Action <br />X TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number C 32602Q.51� <br />County Instrument Number 200302328 <br />TAX YEARS (corporate, individual income, and withholding tax only) 4999 <br />PARTIAL RELEASE, The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />F1 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />r' <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />detaimination of the terminati n, partial release, or subordination indicated above, f <br />sign 41 W)4X6AAto Revenue Agent �� J �L 402 471 -5835 <br />here Preparers Signatu Title Date Telephone Number <br />Revenue Senior Agent /a `G —4 y <br />/A1ithbrized S nat re Title Date <br />