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10/15/2004 08:32 FAX 14024714429 a� NEBRASKA UCC 200410060 Z002/002 Or State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination PLEASE DO NO WRITE IN THIS SPACE Pursuant to the revenue laws of the State of Nebraska, notice is hereby �!^iU I(l� �i$5 q� r ��,� given that the State Tax Lien which has been duly flied by the Nebraska �-erlt'�Uaj /�� Ms 9 q — � ) o i � (o Department of Revenue against the below-named taxpayer, is r J terminated, partially released, or subordinated to the extent indicated �h�vi`on �d�Pds bg q(�lcx�� below. Nebraska Identification Number Tax Category 13758497 22 Lien Serial Number Llen filed with 892 -52 -098 EzRegister of Deeds 0 County Clerk BUSINESS NAME AND LOCATION ADDRESS Business Name Street Address City State Code Federal Identification Number Social Security Number 507-40 -9751 I Date of Lien County 01/01/1990 HALL TAXPAYER NAME AND MAILING ADDRESS Name EDWIN E & ARDITH L KOKES Street or Mailing Address 3210 EAST GREGORY ST o °re Zip Code GRAND ISLAND NE 68801 _ Type of Action TERMINATION OF TAX .LIEN ,'The State Tax Lien is hereby fully terminated. UCC instrument N TAX YEARS (corporate, individual income, and withholding tax only) PARTIAL RELEASE. umber 9904330053 6W7, County Instrument Number 200404075 1982, 1983, 1984 The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) F1 SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number 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 de rminatio of the termination, partial release, or subordination indicated above. sign 0. Revenue AcIent 10112/2004 402 471 -5835 here Prepare s Signature Title Date Telephone Number Revenue Senior Agent L6 _ �z _ e' Au orized Signature Title Date