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J <br />Z <br />05!16/2003 16AD FAX 14024714429 <br />Phew remm b: <br />STATE OF NEBRASKA <br />DEPARTWENT OF REVENUE <br />1811 WEST 2" ST STE 460 <br />GRAND ISLAND NE 68803 <br />or <br />coastal <br />prnw,.,e <br />® 002/004 <br />IIN <br />,, fast 111611612003 12.01 PM <br />200306260 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <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 duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nobmi,lin dentltlealion NOmbef <br />I Ta%ilight y <br />Social$ecurlly NOClbaf <br />SppYSBi $eCi Sr.rtJ Numbv <br />21960453 <br />22 <br />36048 -1738 <br />Lien Saris Number <br />Llanflledwrrn <br />Dab of Lien <br />County - <br />972270031 <br />��Raglster of Doer. n County Clerk <br />08/15i1997 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS - <br />TAXPAYER NAME AND <br />MAILING ADDRESS <br />Business Nsme <br />Name <br />Jay DBedcrek <br />Sbeet Address <br />Seger or Mailing Address <br />4D5 E 7th <br />cat, <br />State Zlp code <br />City State <br />Zip Code <br />Grand Island NE <br />68801 <br />Type erf Acacn <br />V/L <br />U TERMINATION OF TAX LIEN. The State Tex Lien is hereby fully terminated. UCC Instrument Number Filed 10 -24 -1997 _ <br />County Instrument Number 97 -10888 <br />TAX YEARS (corporate, Individual income, and withlwlding tax only) <br />J <br />1 PARTIAL RELEASE. The Stale Tax Lien is parlally releasetl as follows: UCC Inetrumen! Number , <br />County Instrument Number <br />TAX YEARS hs rpomt ,, Individual income, and withholding in only) <br />SUBORDINATION. The Stab Tax Lien is subordinated as follows UCC Instrument Number <br />County Instrument Number <br />I hereby oirby that the Nebraska Department or Revenue has wu �di i a wiYr the revenue laws of the Sale m Nebraska in <br />inedm of the t IM Ferrol release, or holcated above <br />sign (a U . <br />I b ✓043 X 385 tQGI<1� ' <br />here Pepares Slgn.ture Till Date Telapphh9je N• her <br />rze a re <br />Title Da <br />asasa a•: xss swwr•e�aaas a.� lass <br />