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11/19/2004 15:50 FAX 14024714429 NEBRASKA UCC <br />IM 002 <br />ice of Stine -UCC TSS <br />114368327 -2 Pal: 1 <br />GARD JAMES E <br />ed: 11116/2004 11:57 AM <br />Or State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />�c <br />+ Subordination <br />Type of Action <br />w• OX TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 99022146974 <br />County Instrument Nu`inber. Jj O <br />TAX YEARS (corporate, individual income, and withholding tax only) WS <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows <br />County Instrument Number <br />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 r <br />determination of the termination, partial release, or subordination indicated above. ` <br />Sign Revenue Agent 11/04/2004 402 471 -5835 <br />here Preparer's Signature Title Date Telephone Number <br />0. Revenue Senior Agent <br />u orized Si nature Title _ Date <br />4- 232-68 Rev. &96 Supersedes 4 -232 -69 Rev. 10-95 <br />Z <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 />992110528 <br />Xn Register of Deeds [] County Clerk <br />07/30/1999 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />JAMES E THAGARD <br />Street Address <br />Street or Mailing Address <br />1419 W LOUISE ST <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 68801 <br />Type of Action <br />w• OX TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 99022146974 <br />County Instrument Nu`inber. Jj O <br />TAX YEARS (corporate, individual income, and withholding tax only) WS <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows <br />County Instrument Number <br />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 r <br />determination of the termination, partial release, or subordination indicated above. ` <br />Sign Revenue Agent 11/04/2004 402 471 -5835 <br />here Preparer's Signature Title Date Telephone Number <br />0. Revenue Senior Agent <br />u orized Si nature Title _ Date <br />4- 232-68 Rev. &96 Supersedes 4 -232 -69 Rev. 10-95 <br />Z <br />