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04/21/2003 16:45 FAX 14024714429 <br />0� <br />NEBRASKA UCC <br />20030497'7 <br />N[ S.o of fi.M - ucc <br />Z003/003 <br />rev <br />Pus: i <br />R17NPM <br />Or <br />Notice of State Tax Lien <br />ke - <br />department <br />.1 revalue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERMINATION F STATE TAX LIEN <br />IVIDU L INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT's REFER TO THESE NUMBERS <br />SQC.. SEC. Hoe <br />14EBR. I�iF1~ T NGi <br />S L USE .SOCe. SEC• <br />TAXAbLE YEAR <br />LIEN Nv— <br />LIEN - RELEASE NO* <br />COUNTY <br />DATE OF NOTICE <br />604182705 <br />356e8492 <br />NO- 946785641 <br />1"7 MARTIN WNTELOtAW SOLORZ � <br />003430307 1103 W 13TH ST S RODRIQUEZ <br />030924769 GRAND ISLAPM HE 68801 <br />INSTRLMENT No: UCC <br />INSTRUMENT NO CTY <br />::�,N I <br />-*.A- <br />� <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NE RASKAr NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA -7EP RTOENT OF REVENUE THAT-THE <br />STATE TAX LIEN; WHICH HAS BEEN DULY FILED AGAINST 'SHE .ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INC 04E TAKES IS TERMINATED 's <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVEMM HAS C014PLIED <br />WITH THE REVEWE LAWS OF THE STATE DF REBP,ASKA IN THE DETERMINATION OF <br />THIS TERMINATION- <br />_. + , <br />mile's 4 ���i i <br />PREPARERIS SIGNATURI~ <br />r ..,. 0 *0 <br />Ai)T�E1D�li3i 111 <br />•�!!'1i• tlgt .f tifi ifrli+l i.iia <br />TITLE <br />... 4ne,.4t. <br />TTTLE <br />DATE <br />iA #4 ;s..,.. <br />PLEASE RETAIN THIS NOTICE WITH YOUR. PERMANENT RECORDS. <br />li <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed Wth soy ink an recycled paper 7 -145 -1979 Flev. 2.2000 Supersedes 7 -145 -1979 Rev. 10- 995 <br />1 w e <br />1 <br />W <br />