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06x2612002 16:40 FAX 14024714429 <br />4 <br />Please renun to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2"13 ST STE 460 <br />GRAND ISLAND NE 68803 <br />NEBRASKA UCC <br />20020896E <br />/0002/003 <br />Ir State Tax Lien Statement of Termination <br />I or Certificate of Partial Release or <br />si <br />° revaM' <br />w rwenue Subordination <br />OF ACTION <br />i OF TAX LIEN, The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 5 -1 0023 <br />( corporate, Individual Income, and withholding tax only) 19 8 3 , 1984 01-17-95 <br />❑ PARTIAL RELEASE The State 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 />i_qo <br />Name w party making requast and responsible for filing ceril Partial n wfm appropriate temg call <br />I hereby Oel III the Nckinal Department of Revenue has rxurlpliad xAtl1 pie revsrasa latex ltte State of Nebraska ti Ne oatwminetlan of Ins <br />!er �^'on, pen Il releaso, or eubor netionlndloatdabow, <br />here <br />ro R "Qp2i3g5t�nm7 <br />anc Canary <br />e <br />Pink Copy <br />bwo Telapphho nert�. <br />COUNTY OFFICE - Goldenrod Copy <br />�40 R. Sea Supaeaaw 4232 -ae Rw. I 0 <br />PLEASE DO NOT WRITE IN TNIS SPACE <br />given that the State Tax Lien which has been duly flied 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 />Nobral Identification Number <br />90159223 <br />Tex Category <br />1 Social Swum or Federal l.O. Number Spouae'o Social Security Number <br />22 <br />1 508 -56 -0521 <br />Uen Swill Number <br />Lien Fled with Dale l: an Cpunly _ <br />90159223 <br />®Register of011 ❑ County Clerk 07 -31 -90 BALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILIND ADDRESS <br />auaness Name - <br />Noma <br />THOMAS L HORNBACHER <br />StreetAddreas <br />Street or Othw Mailing Address <br />PO BOX 631 <br />City Stec Zp Code <br />Vey Sate Zip Code <br />GRAND ISLAND NE 68802 <br />OF ACTION <br />i OF TAX LIEN, The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 5 -1 0023 <br />( corporate, Individual Income, and withholding tax only) 19 8 3 , 1984 01-17-95 <br />❑ PARTIAL RELEASE The State 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 />i_qo <br />Name w party making requast and responsible for filing ceril Partial n wfm appropriate temg call <br />I hereby Oel III the Nckinal Department of Revenue has rxurlpliad xAtl1 pie revsrasa latex ltte State of Nebraska ti Ne oatwminetlan of Ins <br />!er �^'on, pen Il releaso, or eubor netionlndloatdabow, <br />here <br />ro R "Qp2i3g5t�nm7 <br />anc Canary <br />e <br />Pink Copy <br />bwo Telapphho nert�. <br />COUNTY OFFICE - Goldenrod Copy <br />�40 R. Sea Supaeaaw 4232 -ae Rw. I 0 <br />