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06/26/2003 17:07 FAX 14024714429 NEBRASKA UCC 1a004/004 6 Or ift"mot ors 200308265 State Tax Lien Statement of Termination or Certificate of Partial Release or Su,Qbhor�dinatio',1n_' L PIL 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 ! I O G{ &)Zt Department of Revenue against the below -named taxpayer, is /A(NE terminated, partially released, or subordinated to the extent indicated G �Ud below. Nebraska IdentiflcaUon Number Tax Category Social Security Number Spouse's Social Security Number 42017432 22 447 -56 -4400 507 -78 -8661 Lien Serial Number Lien filed with Date of Lien County 7 09 322 0 Register of Deeds [] County Clerk 0 9/1 111 997 Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Kenneth W. 8 Glenda J. Epperson Street Address Street or Mailing Address 10113 S. 111h St. City State Zip Code City State Zip Code Omaha N E 68123 Type of Action _.�- -- i TERMINATION OF TAX LIEN. The State Tax Liens hereby fully terminated. UCC Instrument Nu rQ 97 107591 County Instrument N -Half TAX YEARS (corporate, individual income, and withholding tax only) PARTIAL RELEASE. The State Tax Lien is partially released as WOWS: 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 corlify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in detgrrinallion of the termination, partial release, or subordinatlon Indicated above. ` sign Revenue Agent 06/25/2003 402 595 -2083 here rs Title Date Telephone Ium IY Revenue Agent Supervisor I G Authorized Signatu Title Date 4- 232.6E Rev, 6.983uperaedes 4.132 -69 Rev. 10 -95 1 I