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200204545
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Last modified
10/14/2011 9:21:42 PM
Creation date
10/22/2005 7:24:51 PM
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200204545
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04/24/2002 17:06 FAX 14024714429 NEBRASKA UCC <br />-40 C`� .9 <br />trill <br />CL2T <br />In <br />ty CD <br />t� <br />N <br />Q O <br />.>� <br />W LJ <br />I <br />PLEASE DO NOT WRITE IN THIS SPADE <br />pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax LAen which has been duly Oiled by the Nebraska <br />Department of Revenue against the below -named taxpayer, is terminated, <br />� Q = <br />Nebraska Identification Number <br />z <br />Social Security or Federal I.D. Nurriter <br />Spouse's Sochi Security Number <br />8133794 <br />01 & 21 <br />507 -04 -9740 <br />Lien Serlot Number <br />Lien Fled With <br />Uj <br />County <br />01/121319 <br />® Register of Deeds O county Oerk <br />12-13-01 <br />HALL <br />w <br />TAXPAYER NAME AND MAILING ADDRESS <br />"neasName <br />Name <br />e4 <br />GARY R LEMBURG <br />Street Address <br />Strom or Other Maiing Address <br />205 E HWY 2 <br />1322 W 8TH ST <br />w <br />b. <br />LC) <br />o <br />GRAND ISLAND NE 68801 <br />Gt► <br />N <br />e <br />w <br />D` <br />OZ <br />OZ: <br />J <br />Nd =Uj <br />Uj <br />1 <br />Or <br />nebreska <br />deparimant <br />I <br />12004/005 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />P -1 <br />- - ~ <br />PLEASE DO NOT WRITE IN THIS SPADE <br />pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax LAen which has been duly Oiled by the Nebraska <br />Department of Revenue against the below -named taxpayer, is terminated, <br />� Q = <br />Nebraska Identification Number <br />z <br />Social Security or Federal I.D. Nurriter <br />Spouse's Sochi Security Number <br />8133794 <br />01 & 21 <br />507 -04 -9740 <br />Lien Serlot Number <br />Lien Fled With <br />Uj <br />County <br />01/121319 <br />® Register of Deeds O county Oerk <br />12004/005 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />P -1 <br />- - ~ <br />PLEASE DO NOT WRITE IN THIS SPADE <br />pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax LAen which has been duly Oiled by the Nebraska <br />Department of Revenue against the below -named taxpayer, is terminated, <br />partially released, or subordinated to the extent indicated below. <br />Nebraska Identification Number <br />Tax Category <br />Social Security or Federal I.D. Nurriter <br />Spouse's Sochi Security Number <br />8133794 <br />01 & 21 <br />507 -04 -9740 <br />Lien Serlot Number <br />Lien Fled With <br />Date of lien <br />County <br />01/121319 <br />® Register of Deeds O county Oerk <br />12-13-01 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />"neasName <br />Name <br />THE OASIS <br />GARY R LEMBURG <br />Street Address <br />Strom or Other Maiing Address <br />205 E HWY 2 <br />1322 W 8TH ST <br />Gity State Zip Code <br />city State Zip Code <br />CAIRO NE 68824 <br />GRAND ISLAND NE 68801 <br />TYPE OF ACTION <br />❑TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />® PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 2001 200113130 <br />❑ SUBORDINATION. The State Tax lien is subordinated as follows. 1NSTR41MENT NUMBER <br />please retum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2 111) ST STE 460 <br />GRAND ISLAND NE 68803 <br />Name of party making request and responsible for %V certificate of partial release or subordination with appropriate bi% ofiaer. <br />I hereby certify that the Nebraska Department of Reveme has pled with the rove laws of the State of Nebraska in the determination of the <br />termination, partal re e. or subordination indicated above, r' 1 <br />sign <br />here Preparer's Sigh re // a Data Telephone No. <br />J — +v�rr Jr•�..ri'Lla �+,1w J ®.e �r //.5 GS% 0 <br />Authorized Sig r � itie Thla <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Fink Copy COUNTY OFFICE - Goldenrod Copy ' <br />4292.6 Rev, asa Supersedes 4232 -6e Rev. 10-95 <br />
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