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06/26/2003 17:07 FAX 14024714429 NEBRASKA UCC IJ003 /004 !i aabtaalkM dipanMio�rd Of rbNO!Irk 200308264 State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska tux -cat I t0� Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nebraska identification Number Tax Category Social Security Number Spouse's Social Security Numbe- 42017432 22 447 -56 -4400 507 -78 -6661 Lien Serial Number Lien filed with Date of Lien County 7 07 392 XZ Register of Deeds ❑ County Clerk 0712511997 Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Kenneth W. & Glenda J. Epperson Street Andress Street or Mailing Address 10113 S. 11th St. City State Zip Code City State Zip Code Omaha NE 88123 Type of Action �- Q TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Nujl76r C e 97 105960 County Instrumen um r a TAX YEARS (corporate, individual Income, and withholding tax only) PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number County Instrument Number TAX YEARS (corporate, individual income, and withholding tax only) SUBORDINATION. The State Tax Lien Is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In del rmination of the termination, partial release, or subordination indicated above. sign Revenue Agent 06125/2003 402 595 -2083 hors a Title Date Telep ber Revenue Agent Supervisor h ne N �✓� Authorized Signatur Title Dat 4- 232.68 Rev. 8 -ge Superaadea 4- 232 -efa Rev. 10 -SS 1 l W 1 I