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r <br />05/16/2003 16:01 FAX 14024714429 NEBRASKA llCC Q004/004 <br />st <br />114 7 <br />6 2003 1218 Me <br />200306261 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />,,M9 Subordination <br />lee <br />PLEASE DO NOT WRrrE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby I <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the bslowatamed taxpayer, is <br />terminated, partially released, or subordinated to the extent Indicated <br />below. <br />ILL <br />CSC <br />w <br />Z <br />Nobrebke ldant1iki Numbs, <br />Tax Category <br />SPUa 5ecslty Number <br />Spouse's Social Saarity NUmbar <br />8682528 <br />21 <br />County Instrument Number <br />200209982 <br />Lien Serial Number <br />flan filed win, <br />Date of Lien <br />County <br />'0209182 <br />2x Register of Deeds ❑Comty Cork <br />0 9 /1 812 0 02 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Nuume <br />w <br />Name <br />TAX YEARS (corporate, individual Income, and withholding has only) <br />H & D CONSTRUCTION INC <br />SUBORDINATION. The State Tax Lien is suborn ited as fdlnws. <br />Street Address <br />Street or Mylirg Address <br />on . 2512 Chanticleer #17 <br />120 W 9TH ST <br />City Slate <br />Zip Cade <br />City State Lp Code <br />GRAND ISLAND NE <br />68801 <br />Type o1 Action <br />U <br />TERMINATIONOFTAX LIEN. The State Tax Lin is hereby fully temynated, <br />UCC Instrument Number <br />K::] 6- 24� <br />County Instrument Number <br />200209982 <br />TAX YEIIRS(comorafe, Individual lnuvme, and withholding tax any) 2001 <br />❑ <br />PARTIAL RELEASE. Tta Stale Tax Lien Is Partially rekasad es folbws: <br />UCC Instrument Number <br />County Instrument Number <br />w <br />TAX YEARS (corporate, individual Income, and withholding has only) <br />C <br />SUBORDINATION. The State Tax Lien is suborn ited as fdlnws. <br />UCC Instrument Number <br />CWnty, Instrument Number <br />I hereby oa ly that the Nebraska Department W Revenue has complied with me reve,we laws of the State o racMa'm <br />tleter. Iina0ar If the to Ine Inn .p rreAelnea''se,'�or subordination too. ktl abwa. <br />5190 ,CK Revenue Suptur Anent C5/15)2008 402 471 -5727 <br />here s I 6 The nme Tei,hrne Number <br />Revenue Serior Agent 05 /15/2003 <br />Au s Signature Trtle std <br />4a3i W Pp. P969upex ^.en43L fig Mr.1085 <br />