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11/17/2004 17:30 FAX 14024714429 <br />NEBRASKA UCC <br />200411214i <br />Z004/010 <br />Or State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />X7 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Nun►'ber X96107778 <br />County Instrument Number' - <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />1995 <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 />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />sign r 'aW I A I<- em1 _ Revenue Agent 11/04/2004 402 471 -5835 /Z <br />here Prepar Signatur Title Date Telephone Number <br />Revenue Senior Agent //,- 1-d r <br />A <br />Date <br />orized S' nature Title <br />4- 232 -66 Rev. 8 -96 Supersedes 4- 232-69 Rev. 10 -95 <br />If <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 />16948556 <br />22 <br />562 -72 -8134 <br />Lien Serial Number <br />Lien filed with <br />Date of Lien <br />County <br />962360463 <br />XD Register of Deeds ❑County Clerk <br />08123!1996 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />JAMES E & PATRICIA E THAGARD <br />Street Address <br />Street or Mailing Address <br />1419 W LOUISE <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 68801 <br />Type of Action <br />X7 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Nun►'ber X96107778 <br />County Instrument Number' - <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br />1995 <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 />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />sign r 'aW I A I<- em1 _ Revenue Agent 11/04/2004 402 471 -5835 /Z <br />here Prepar Signatur Title Date Telephone Number <br />Revenue Senior Agent //,- 1-d r <br />A <br />Date <br />orized S' nature Title <br />4- 232 -66 Rev. 8 -96 Supersedes 4- 232-69 Rev. 10 -95 <br />If <br />