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12/17/2004 17:46 FAX 14024714429 NEBRASKA UCC <br />Oil' <br />200412163 <br />10002 <br />N[ Sae of Sleta - UCC Too <br />9904366260 -6 Pg:: 1 <br />SMITH DEBRA K <br />Filed: 12/16/2004 03:05 PM <br />or Notice of State Tax Lien <br />nebraska <br />department <br />of revenue - - <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS:. <br />SOC. SEC. NO. 508622424 <br />NEBR. IDENT. N). 23984236 <br />SPOUSE SOC. SE . NO. 5069059OZ <br />TAXABLE YEAR 2000 GENE R & DEBRA K SMITH <br />LIEN NO. 012360260 3008 BRENTWOOD SQ <br />LIEN RELEASE N). 043412947 GRAND ISLAND NE 68801 <br />COUNTY HALL <br />DATE OF NOTICE W=4- <br />INSTRUMENT NO. UCCINSTRUMENT NO. CTY <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA.DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY CERTI <br />WITH THE REVEN <br />THIS TERMINATI <br />PREPARER'S SI <br />I ZE ) S <br />THAT THE NEBRASKA DEPARTMENT'OF REVENUE HAS COMPLIED <br />LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />TURE TITLE <br />TURE TITLE <br />17 x&-04 . <br />DATE <br />. /,z -. IT -'? � ... S4-- <br />DATE <br />RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br />