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12/17/2004 17:48 FAX 14024714429 NEBRASKA UCC <br />J9, <br />Or <br />department <br />of revenue <br />IF YOU INQUIRE <br />ACCOUNT, REFER <br />200412166 <br />U005 <br />ucc Us <br />2004 03:05 Pr4 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />ABOUT YOUR <br />TO THESE NUMBERS_ <br />SOC. SEC. NO. 505228286 <br />NEBR. IDENT. NO. 16925351 <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR 2000 ERNA E THAGARD <br />LIEN NO. 030450094 1419 W LOUISE ST <br />LIEN RELEASE NO. 043411153 GRAND ISLAND NE 68801 <br />COUNTY HALL <br />DATE OF NOTICE 12 OFi 20�iw: <br />INSTRUMENT NO . UCC off ``�/aa^^ll� <br />INSTRUMENT NO. CTY - 8� <br />PURSUANT TO THE, REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN Be THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR IqDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY CERTIFY THAT,THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THIS TERMINATION. <br />PREPARER'S SIC <br />A THORI D SIC <br />.... ......... l Zak � ........ . <br />TUBE, TITLE DATE <br />� I <br />TURE TITLE DATE <br />E RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br />