Laserfiche WebLink
04102/2003 17:25 FAX 14024714429 NEBRASKA UCC <br />200303937 <br />eaUarNa <br />ao,ae,ed <br />X005 /006 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />O TERMINATIONOFTAx'.LIEN. The State Tax Len is herebyfullyunthInated. UCCInsttlareM Number <br />County lnstramsnt NylnMr 96- 106933 - renewal <br />TAX YEARS <br />individual income. and wlthholdlra tax only) <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 />Dspartmsnt of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />County Instrument Number <br />below. <br />TAX YEARS (corporate; Individual Ineeme, and withholding tax only) <br />Nebraska identification Number <br />Ter Ce.,, Social Secaiy ll bar <br />Spouse's Sees Security Numhar <br />6364136 <br />94 506- 96_6036 <br />Lien $anal Number <br />Liar filed wish Date of Lien <br />County <br />1110/077 <br />[] Regater of Deeds❑ Counry Clerk 10 -31 -1991 <br />Hell <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />&isiness Name <br />Name <br />Jeffery Madey _ <br />$treat Addmaa <br />Sfieet cr Mallin3 Address <br />2200 North Wheeler <br />Cly State 2p Code <br />Grand Island NE 86801 <br />Oily Stffie Zip Code <br />Type of Action <br />O TERMINATIONOFTAx'.LIEN. The State Tax Len is herebyfullyunthInated. UCCInsttlareM Number <br />County lnstramsnt NylnMr 96- 106933 - renewal <br />TAX YEARS <br />individual income. and wlthholdlra tax only) <br />I hereby cedify that the Nebraska Department of Revere. has complied vrth Nis rave n ae hove of the State of harenske i' <br />determination of the tennlnation, partial release, or subodi rat hr Inacated aioo . <br />sign _ 402 471 -5709 <br />hers, <br />Fr rota SlBna <br />TNe Data Tae l one Number <br />iR =venue Senior Acert 4 -1 -2003 _ <br />a T,te Dat <br />rAuay.l plgo 1pre aaaz -esn�. sae sore =tee.. n- asaaere... oaa <br />Z!t. <br />PARTIAL RELEASE. The State t or Lien is radially released as folIMS: <br />UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate; Individual Ineeme, and withholding tax only) <br />❑ <br />SUBORDINATION. The Slate Tax Lien b subortlinareo as fdllowa <br />UCC Instrument Number <br />County Instrument Number <br />I hereby cedify that the Nebraska Department of Revere. has complied vrth Nis rave n ae hove of the State of harenske i' <br />determination of the tennlnation, partial release, or subodi rat hr Inacated aioo . <br />sign _ 402 471 -5709 <br />hers, <br />Fr rota SlBna <br />TNe Data Tae l one Number <br />iR =venue Senior Acert 4 -1 -2003 _ <br />a T,te Dat <br />rAuay.l plgo 1pre aaaz -esn�. sae sore =tee.. n- asaaere... oaa <br />Z!t. <br />