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12/17/2004 17:46 FAX 14024714429 NEBRASKA UCC _ IA003 <br />sign <br />here <br />i nereoy ceruiy [naL uie <br />aana uoNai uumn v v. __ .......r..__ ..._. _ - . - - --- - <br />or subordination indicated above. <br />Revenue Agent 12/10/2004 402 471 -5835 <br />Title Date Telephone Number <br />Revenue Senior Agent /9 -/a - Ole <br />Date <br />Title <br />4- 23266 Rev. 8 -96 Supersedes 4. 232 -69 Rev. 1 C -9S <br />sec of stoic -UCC TN <br />200412104 9904380 Pes : 1 <br />THgGilRD <br />ERMA RMfi E E <br />Filed: 12/16/2004 03:05 PM <br />State Tax Lien Statement of Termination <br />Or <br />or Certificate of Partial Release or <br />Subordination <br />(!0$tlK4f <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of <br />the State of Nebraska, notice is hereby <br />that the State Tax Lien wh <br />ch has been duly filed by the Nebraska <br />given <br />Department of Revenue against <br />the below -named taxpayer, is <br />terminated, partially released, or <br />subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />Tax <br />ategory <br />Federal Identification Number <br />Social Security Number <br />16925351 <br />22 <br />505 -22 -8286 <br />Lien Serial Number <br />Lien <br />filed with <br />Date of Lien <br />County <br />105-40 -039 <br />X❑ R <br />gister of Deeds El County Clerk <br />08/01/2002 <br />HALL <br />BUSINESS NAME AND LOCATION <br />ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />ERMA E THAGARD <br />Street Address <br />Street or Mailing Address <br />1419 W LOUISE <br />City State <br />Zip Code <br />City State _ Zip Code <br />GRAND ISLAND NE 68801 <br />Type of Action <br />0 TERMINATION OF TAX LIEN. The <br />Rate Tax lien is hereby fully terminated. UCC Instrument Nu .9902232604-1 <br />County Instrument Number 200208918 <br />TA !I A YEARS (corporate, Individual <br />ncome, and withholding tax only) 1993-1995,1997-1999 <br />P�RTIAL RELEASE. The State <br />Tax Lien is partially released as follows: UCC Instrument Number <br />i <br />County Instrument Number <br />TAX YEARS (corporate, individual <br />Income, and withholding tax only) <br />SUBORDINATION. The <br />State Tax Lien is subordinated as follows. UCC Instrument Number <br />j <br />j <br />County Instrument Number <br />I <br />I —— f fha Stnfa of NPhraska in <br />sign <br />here <br />i nereoy ceruiy [naL uie <br />aana uoNai uumn v v. __ .......r..__ ..._. _ - . - - --- - <br />or subordination indicated above. <br />Revenue Agent 12/10/2004 402 471 -5835 <br />Title Date Telephone Number <br />Revenue Senior Agent /9 -/a - Ole <br />Date <br />Title <br />4- 23266 Rev. 8 -96 Supersedes 4. 232 -69 Rev. 1 C -9S <br />