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01/24/2002 17:05 FAX 14024714429 NEBRASKA UCC m tP.) O N Q O 'D O QD al N F..L.t M 11 /1C t 1 9 t� / +.y+ . -- co 40 tr, t N Q ca f►� p N ' \ Q = U O U V tr department of f.van- O N z U LL W cc Y U W V 1a002/005 :53 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. INSTRUMENT NUMBER TAX YEARS (corporate, Individual income, and withholding tax only) [RPARTWL RELEASE. The State Tax Lien is partially released as follows INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) 200111251 ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER •. e:e Please reiutm to: STATE OF NEBRASKA DEPARTNMNT OF REVENUE 1811 WEST 2`''c ST STE 460 GRAM ISLAND NE 68803 Name of parry malting request and responsible for ving certlfl=e of partial release or subordina5on with appropriatefilirp officer, hereby calry that the Netxask2 Department of Reviews compiled with the revenue laws of the State of Nebraska In the determinatlon of the teragriation, partial release, orsubordination indicated above, heresign �=-= V�Tmfo�' 1� �.??1--- 1 Prep ar'sSignatu pa:e Telephone No, L14 Illm orf:edSl V (re Troe two NEBRASKA White and Canary Copies TAXPAYER - Plrk Copy COUNTY OFFICE - Goldenrod Copy '~ .-, ",• � "•• 7" ^ 4.22.ae Rev. 8-e8 Suposedes 4- 272 -e6 Rev. 1005 PLEASE 00 NOT WRITE IN THIS SPACE 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 Department ofRevenue against thebelow -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nabraska Identification Number Tax Category Social Security or Federal I. D. Number Spouse's Social Security Number 8133794 01 507 -04 -9740 Lien Serial Number /302 Lien Filed birth Data of Lien County ® Register of cesda ❑ county Clark 10-30-01 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Businece Namo Na,M, THE OASIS GARY R LEMBURG Street Address Street or Other Waling Address 205 E HWY 2 1322 W EIGHTH ST Cly State Z1pCode Gty State apse CAIRO NE 68824 GRAND ISLAND NE 68801 TYPE OF ACTION ❑ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER TAX YEARS (corporate, Individual income, and withholding tax only) [RPARTWL RELEASE. The State Tax Lien is partially released as follows INSTRUMENT NUMBER TAX YEARS (corporate, Individual Income, and withholding tax only) 200111251 ❑ SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER •. e:e Please reiutm to: STATE OF NEBRASKA DEPARTNMNT OF REVENUE 1811 WEST 2`''c ST STE 460 GRAM ISLAND NE 68803 Name of parry malting request and responsible for ving certlfl=e of partial release or subordina5on with appropriatefilirp officer, hereby calry that the Netxask2 Department of Reviews compiled with the revenue laws of the State of Nebraska In the determinatlon of the teragriation, partial release, orsubordination indicated above, heresign �=-= V�Tmfo�' 1� �.??1--- 1 Prep ar'sSignatu pa:e Telephone No, L14 Illm orf:edSl V (re Troe two NEBRASKA White and Canary Copies TAXPAYER - Plrk Copy COUNTY OFFICE - Goldenrod Copy '~ .-, ",• � "•• 7" ^ 4.22.ae Rev. 8-e8 Suposedes 4- 272 -e6 Rev. 1005