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06/19/2002 15:55 FAA 14024714429 NEBRASKA LCC <br />O <br />n.breeka <br />separtmant <br />16002/003 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws or the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly Bled 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 />Nebra6keltlsntificanon Number <br />Tax Category <br />Social Seeunty or federal l.o Number <br />opoueo'a Social Security Nurrecr <br />3969306 <br />22 <br />505 -82 -5679 <br />rA <br />so <br />lien Filed With <br />Register of Deeds ❑cmmty dart <br />Date of Uen <br />3/24/02 <br />Cou>ty <br />HALL <br />101 4 7 0 0 60 <br />^ <br />O <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Lr) <br />Y <br />Name <br />JOHN A & XATHRYN M SAUTrZR <br />Street Address <br />Street or Other McAng Address <br />Q7 <br />City Stale <br />7Jp Cade <br />Gary State Zp Coda <br />cio <br />GRAND ISLAND NE 68802 <br />C5 <br />20020655A <br />C> <br />o <br />O <br />p <br />y <br />L.> <br />N <br />O <br />n.breeka <br />separtmant <br />16002/003 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws or the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly Bled 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 />Nebra6keltlsntificanon Number <br />Tax Category <br />Social Seeunty or federal l.o Number <br />opoueo'a Social Security Nurrecr <br />3969306 <br />22 <br />505 -82 -5679 <br />507 -84 -2743 <br />Lien Serial Number <br />lien Filed With <br />Register of Deeds ❑cmmty dart <br />Date of Uen <br />3/24/02 <br />Cou>ty <br />HALL <br />101 4 7 0 0 60 <br />® <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />aumnew Name <br />Name <br />JOHN A & XATHRYN M SAUTrZR <br />Street Address <br />Street or Other McAng Address <br />po BOX 207 <br />City Stale <br />7Jp Cade <br />Gary State Zp Coda <br />GRAND ISLAND NE 68802 <br />— <br />[.�TERMINATION OF AX LIEN. The State Tax Lien is hereby fully [emsineted. INSTRUMENT NUMBE, <br />(corporate, Individual Income, and withholding tax only 1996 <br />❑ PARTIAL RELEASE. The State Tax Licn 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 (aunt to: <br />STATE OF NEBRASKA <br />DE.PARTNIENT OF REVENUE <br />1811 WEST 2N'° ST STE 460 <br />GRAND ISLAND N£ 68803 <br />Name of tarty making request and resppn5lhle 9or Slnp centfcate of parral release or subordinate, with appropriate filing officer. <br />I hereby enify that the Nebraska Department of Revenue has complied w 1i the revenuelews of the State or Nebraska in the dets rinaton.the <br />teimin it , I se, orsubordinetlon indicated above. <br />sign <br />here aer'sRnatur Tile Teleprune No <br />Authcrized 7Ne <br />NEERA KA DEPARTMEN F REVENU ih¢e and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4232 68 R.v. &96 Suprrvtl.a 4232 -69 Rev.'pS' <br />