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03/10/2003 15:53 FAX 14024714429 NEBRASKA FCC 1A002 <br />IIIIIIII r w.9. - e•c -ev <br />o l I <br />Pkmeree9m b: .200302845 "s DLrNaOa�LLa i1 ear.., <br />FI d., 0p/1012ee3 10:39 en <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />CRAND ISLAND NE 68803 <br />�r^ State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />anew <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 agalmet the below -named taxpayer, is <br />terminated, partially released, or subordlnated to the extent indicated <br />below. <br />Neb ask. Idenllrnadon Number Tex Category Social Senuil Number <br />Y Spouse's Socal Sacur!ry Number <br />40233510 22 605 -72 -1380 <br />L_renberal Number - Uen Blasi with Dane of Lien <br />� Co my <br />RegistaWDems ❑County Gerk - -- 01i28(199B Hall <br />Name <br />St;al Address -- - Lintleil M Ha9wood 11 - - - - <br />-. Street or Mailing Address <br />901 Nest 71h <br />j <br />dereby codify chat the Netraska Oepadment of Revenue has comgled'xlth me mvanue laws of OeSame of Nebreeke in <br />d ti of me termination, part al release, er s01 net! r ntlinatetl above. <br />sign L/1,4e'�!'isS �-3t73 _ 3r?B 3913 /vG�/�7 <br />t12T2 {'are s Sgnaare ee� ✓ <br />Date .slap^ Number <br />Aumc -zoo sign Wj r, 'tom 4' T% <br />9 YJ2 -e0 P.e¢ 9985upe,.eCe59Q32A9 Rae 1 }93 <br />t <br />mrsno Islentl NE 68801 <br />Type cl Action <br />_U <br />TERMINATION OF T <br />LIEN. The State Tax Lien is hereby fully termnated. <br />11CC Instrument Number flied 02 -04 -1988 <br />YEARS (co <br />a, indwidual income, she withholding tax only) 1991 <br />County Instrument Number 984p9eR2 <br />1992. 1993 16x5 1996 TITS aff1�nQ�T <br />PARTIAL RELEASE. <br />The Slats Tax Lien Is Demelly released as follows: <br />UCC Inslrumen4 Number <br />- <br />TAX YEARS(comerate,indleidual l .... ex nd wrhhholiing lax only) <br />Coumy Instrument Number <br />❑ <br />SUBORDINATION. <br />The State Tax Len is sWadinated as fd!PWa. <br />UCC Instrument Number <br />_ <br />county Instrument Number <br />j <br />dereby codify chat the Netraska Oepadment of Revenue has comgled'xlth me mvanue laws of OeSame of Nebreeke in <br />d ti of me termination, part al release, er s01 net! r ntlinatetl above. <br />sign L/1,4e'�!'isS �-3t73 _ 3r?B 3913 /vG�/�7 <br />t12T2 {'are s Sgnaare ee� ✓ <br />Date .slap^ Number <br />Aumc -zoo sign Wj r, 'tom 4' T% <br />9 YJ2 -e0 P.e¢ 9985upe,.eCe59Q32A9 Rae 1 }93 <br />t <br />