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b3/04!2003 08:40 FAX 14024714429 NEBRASKA FCC la 003 <br />/l <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE 200302557 <br />1811 WEST 2Nd ST STE 460 <br />GRAND ISLAND NE 68503 <br />soon so� <br />MINK <br />1 12003 Wall IN <br />State Tax Lien Statement of Termination <br />Or <br />or Certificate of Partial Release or <br />.aerrak. Subordination <br />epeaammt <br />O <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 duty filed by the Nebraska <br />- <br />Department of Revenu0 against the below -named taxpayer, is <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />terminated, partially released, or Subordinated to the extent Indicated <br />below. <br />PARTIAL RELEASE, The Stale Tax Lien is partially released as bllom, <br />Ne,aska'derliice: ion Number <br />Tex Category <br />Sodal Securlly Number <br />Spouse's Small secuny Number <br />7205546 <br />1 <br />506-64 -3732 - <br />Slen Sisal Number <br />I Lien Ned vAlh <br />Date of Lien <br />Counry <br />_ 01011304 . <br />❑x Register of needs ❑County Clerk <br />01/29/2003 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />B,siness Name <br />Name <br />Thomas P Mettenbrink <br />Street Address <br />Street or Matting Aodress <br />4urhdrizegrat�°'� <br />IIrC <br />1324 W North Front Street _ <br />city Stale Zip Code <br />City Stet Zip C.d. <br />Grand Island NE 68803 <br />O <br />TERMINATION or TAX LIEN. Toe Slate Tan Lien is Hereby filly terminated. <br />UCC Instrument Number 9903255 <br />County Instrument Number 200301 <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />❑ <br />PARTIAL RELEASE, The Stale Tax Lien is partially released as bllom, <br />UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corpo id., individual income, and wKhholdfhg lax only) <br />evenxlaws of Jl9 $fate Of Nehroska in �^ <br />❑ <br />SUBORDINATION. The Slate Tax Lt. Is suboNinated as follows. <br />UCC Instrument Number <br />sign <br />%Pn,on <br />'�'A d ��Ah>rLh' <br />County Instrument Number <br />02'25/2003 57 3 <br />here <br />a <br />Preearer s lgnamreT <br />A <br />9 <br />I hereby wmfy, that the NSazske DeparUnent Df Reveniehas complel Me. <br />evenxlaws of Jl9 $fate Of Nehroska in �^ <br />detennina ter <br />InaL, ara[mJeass. o, sobedirsta, indicated above. <br />sign <br />%Pn,on <br />'�'A d ��Ah>rLh' <br />Revenue Senior Agent <br />02'25/2003 57 3 <br />here <br />a <br />Preearer s lgnamreT <br />Tao ._ _ <br />Oate ae ^rc eNUmbsr <br />Revenue Supervisor <br />02125/2003 <br />4urhdrizegrat�°'� <br />IIrC <br />—,be <br />Date <br />4111 -rs aev "I euxne['saa 2aaee w.'O is <br />A <br />9 <br />