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01/25/2002 17:48 FAX 14024714429 NEBRASKA UCC Q006/006 �b sir nebrasks !n.=,. _t 200201124 /2612002 02,60 PM State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination TYPE OF ACTION TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUU ENT NUMBER 8 2 6 01— 2 +\A- X„YEAR5.(po orate, Individual Income, and withholding tax only) ❑ PARTIAL RELEASE. The State Tax Lien Is partially released as follows. IN3TRUMENT NUMBER TAX YEARS (corporate, Individual income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lion is subordinated as follows. INSTRUMENT NUMBER Please return lo: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2ND ST STE 460 GRAND ISLAND NE 68803 Name of party making request and responsible for Iling certificate of partial release or subordlnadon with appropriate Iling older. i hereby oartify that the Nebraska Department of Revenue oomplied with the revenue taws of the State of Nebraska In the determination of the termination, partial release, reubp rlfrtatb indbated above. sign i1e1'e PreparersSignature Tkle Data Telephone No Qo riled Sign V U T e NE8RA51tA DEPARTMENT OF REVENUE - Wh't and Canary Copiee TAXPAYER - Ptak Copy COUNTY OFFICE - Goldenrod Copy 4292 -611 Rev. bah Supatedee 4232.66 Rev. 1"5 , PLEASE DO NOT WRITE IN THIS SPACE Pursuant to the. revenge laws of the State. of Nebraska, notice Is hereby given that the State Tax Lien which has been duly filed by the Nebraska Depa rtment of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below, Nebraska Ident iloation Number Tax Category Social Security or Federal I.D. Number Spouse's Social Security Number 8577196 01 157 -50 -5314 Lien Serhat Number Lien Fled Wtlh Date of Lien Monty 01/12/316 ® Reglater of Deeds ❑ G0unty Clerk 12-05-01 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Bi,siness Name Name STOCKMEN'S CAFE MELODY ROE Street Address Street cr Other MaAing Address 613 E 4TH 210 W 16TH City State Zip Code City State zip code _ GRAND_ .. 1"S. AND NE 68801 IGRAND ISLAND NE 68801 TYPE OF ACTION TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUU ENT NUMBER 8 2 6 01— 2 +\A- X„YEAR5.(po orate, Individual Income, and withholding tax only) ❑ PARTIAL RELEASE. The State Tax Lien Is partially released as follows. IN3TRUMENT NUMBER TAX YEARS (corporate, Individual income, and withholding tax only) ❑ SUBORDINATION. The State Tax Lion is subordinated as follows. INSTRUMENT NUMBER Please return lo: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2ND ST STE 460 GRAND ISLAND NE 68803 Name of party making request and responsible for Iling certificate of partial release or subordlnadon with appropriate Iling older. i hereby oartify that the Nebraska Department of Revenue oomplied with the revenue taws of the State of Nebraska In the determination of the termination, partial release, reubp rlfrtatb indbated above. sign i1e1'e PreparersSignature Tkle Data Telephone No Qo riled Sign V U T e NE8RA51tA DEPARTMENT OF REVENUE - Wh't and Canary Copiee TAXPAYER - Ptak Copy COUNTY OFFICE - Goldenrod Copy 4292 -611 Rev. bah Supatedee 4232.66 Rev. 1"5 ,