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10109/2002 14:46 FAX 14024714429 NEBRASKA UCC <br />V� <br />200210933 <br />Pleue reumm: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2'- ST STE 460 <br />GRAND ISLAND NE 68803 <br />or <br />n1aalM <br />e <br />a <br />®092 /oo2 <br />I��Ill�IIIIII 'pplls��Iy11'1,.Iy11rItI. - rylpppl pVc lcl'1I'D1'1YBI�IIIIIIIB1IryrrI I/I''NII 1''I111IIIpIIp�I IjI <br />99822 IIIillllllllq IIIIIIIIIII �I� <br />D-a eeN9�?EelNC Pee. <br />Fr Ud: "hapIaA02 12:02 Pn <br />State Tax Lien Statement of Termination <br />orCartlficate of Partial Release or <br />Subordination <br />7Nebraska SE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, n <br />given that Inc State Tax Lien which has been duly filed bDepartment of Revenue against the below -nam ed taxpayterminated, partially released, or subordinated to the ext <br />Wow. <br />Nebraska Idenfificeticn Number <br />Tax Category <br />Federal Identifcaton Nvmber <br />Social Sefauity Number <br />7628862 <br />01 & 21 <br />47- 0784594 <br />_ren Sedal Nvmber <br />uan filetl Wih <br />Dona a Lan <br />Cwrry <br />08103/0316 <br />❑XRelPSteraf Deeds ❑County Clerk <br />06/1212000 <br />UCC lnsirumenl Number <br />Hal: <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Club Absolute, Inc. <br />Street Address <br />onew or Mailing Address <br />2205 Central Ave <br />I�� <br />C/ <br />SWa up code <br />City Stale ZIP Code <br />68847 <br />Type of Action <br />X TERMINATION TAXLIEN. Tile Slate Tax Lienisherebyfulytennirated. UCC leatrumeat Number 03108198 oaglt2b: <br />�— County Instrument Number 98- 102058 <br />I hereby certify that the Nebreske Oj; ::;:ent o Revenue has mmplled wiM ;h =_ revenue Paws of the SMte of Nenmska in <br />tljetteee atlafthe tor/ry/n94cn, partial release, or sub.1d1 LOn in1ostetl ablrve, a^.1 <br />319rt ►�- DSVt-/A /L'_ J Revenue Apent ep o 308 385 -6076 1V <br />here Prepare a pEur9ynyJ u,re�� Title elephone� Nunbe, - <br />► - ' F,! � Revenue Senior Agent <br />Auvax dSignature ` Tree Date <br /><333 -6a Rev. }¢59upers¢tlm 43:Sd8 q¢v,'f -E <br />TAX YEARS (corporate, individual interne, and withholding tax only) <br />I] <br />PARTIAL RELEASE, The Steve Tax Lien Is Partially released as follows: <br />UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corpomb, indiNdud Income, and whhhdtling tax any) <br />�-T <br />I <br />SUBORDINATION. The State Tax Lien is subordinated as Inlays. <br />UCC lnsirumenl Number <br />County fin,m maul Number <br />I hereby certify that the Nebreske Oj; ::;:ent o Revenue has mmplled wiM ;h =_ revenue Paws of the SMte of Nenmska in <br />tljetteee atlafthe tor/ry/n94cn, partial release, or sub.1d1 LOn in1ostetl ablrve, a^.1 <br />319rt ►�- DSVt-/A /L'_ J Revenue Apent ep o 308 385 -6076 1V <br />here Prepare a pEur9ynyJ u,re�� Title elephone� Nunbe, - <br />► - ' F,! � Revenue Senior Agent <br />Auvax dSignature ` Tree Date <br /><333 -6a Rev. }¢59upers¢tlm 43:Sd8 q¢v,'f -E <br />