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02/25/2002 17:24 FAX 14024714429 NEBRASKA UCC <br />200202191 <br />121 003 <br />Or State <br />Tax Lien Statement of Termination <br />Mbreeka or Certificate of Partial Release or <br />°e "M' Subordination <br />dt rav MUe <br />I _ TYPE oP ACTION ,{]TERMINATION O TAX LIEN. The State Tax Lien is hereby fully terminated INSTRUMENT NUMBER 96 -1 07524 QZ <br />=`SAX YEARS (,C�Pi`porate, Individual Income, and withholding tax only) 1992 <br />CaPARTIAL RELEASE The Stale Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please rewrn to' <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2Nn ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of parry making request and responsible tot ling eenmrale of partial release or suoor6ntedw with epproprutefling officer. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the mvenue laws of the State of Nebraska, notice is hereby <br />to in Idn, parser r <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />- <br />Department of Revenue against the below -named taxpayer, is terminated, <br />9 <br />partially released, or subordinated to the extent indicated below. <br />1 i5 �e�ity�l <br />Nebraska lcenahcation Number <br />Tax Category <br />Social Security or Fodwal I.D. Number <br />Spou se's Social Security Nuribar <br />11286695 <br />22 <br />505 -36 -0542 <br />Data of u" <br />523 -44 -7054 <br />County <br />Lien Serial Number <br />Lien Fl led wIVl <br />962010117 <br />if all ❑CwmyClerk <br />07/19/96 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />4233.40 Rev. 9- %supageees42 Of Rev_ 10.93 <br />CHARLES A & YVONNE A JANECEK <br />Street Ad ress <br />Street or Other Meiling Address <br />1221 E 5TH ST <br />city State Zp Code <br />Cdy State Zip Code -- <br />GRAND ISLAND NE 68803 <br />I _ TYPE oP ACTION ,{]TERMINATION O TAX LIEN. The State Tax Lien is hereby fully terminated INSTRUMENT NUMBER 96 -1 07524 QZ <br />=`SAX YEARS (,C�Pi`porate, Individual Income, and withholding tax only) 1992 <br />CaPARTIAL RELEASE The Stale Tax Lien is partially released as follows. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br />Please rewrn to' <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2Nn ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of parry making request and responsible tot ling eenmrale of partial release or suoor6ntedw with epproprutefling officer. <br />I hereby cesfy that the Nebraska Department of Revenue hag Complied wfth the revenue Nws W the State of Nebraska In the detennlnallon ofthe <br />to in Idn, parser r <br />eaee, or suboroirvi ion indicated abate. <br />- <br />Sign <br />9 <br />T`a`res <br />1 i5 �e�ity�l <br />here' <br />'s Slgna are <br />Tn <br />Data Telep e1O- — <br />c <br />o7a 1 G Z. <br />Q13 <br />AuthOn— r* <br />TNe <br />-L�{ _ <br />NEBRASKA DEPARTMENT <br />F REVENU ae and canary copies <br />TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4233.40 Rev. 9- %supageees42 Of Rev_ 10.93 <br />