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10'11/2002 16:10 FAX 14024714429 <br />yleusrsom1u <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2eo ST STE 460 <br />GRAND ISLAND NE 68803 <br />NEBRASKA UCC <br />200210995 <br />0004/004 <br />IaI .LI'IepIIIIau,..''u'nMMIIcIuI I'�uI ''''1'm'IOI� IIII'pN''I''''1t <br />�iIN I IIII�IIO �IIII�IIII <br />a�afazz� aRRryrypp ISLpN1, PL,L.0 <br />Fll eel. 10111 /E00] it PM <br />Ir State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />W NYMee <br />- Type OTAotidn <br />n TERMINATION OF TAX LIEN. The Su Tax Lien is hereby fully ter nhated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, mWeld uel Income, and withholding tax only( <br />�Xj PARTIAL RELEASE. The State Ten Lien is partially released as bill UCC Instrument Number `J <br />County Instrument Number 2001064 <br />TAX YEARS (wrp.ri Individual iril and wludu ltling tax only) <br />[] SUBORDINATION. The State Tax Lbn bsubordinabd.srolloei UCC Instrument Number <br />County Instrument Number <br />I Of Seven (7) and NOM h One HunOreO TOlrty -FNe (135') Lot Eight (8), Menard Second Subdivision <br />in the City of Grand Island, Hall County Nebraska <br />detalmmation at vie rmin son, partial release, or subtedledun imlipabi above. <br />Sign Revenue Senior Agent 10/10/2002 085- -5073 <br />here Pre par a ig,ature Its gate Telephone Number <br />E Revenue Supervisor <br />Ac7tari a re Title Da <br />.au<e n.. see <br />PLEASE DO NOT WRITE IN THE SPACE <br />Pursuant to the revenue laws of tha State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent Indicated <br />below. <br />Nebraska Identlficason Number <br />Tax G2tegary <br />FeOeral Idensfimi7,w Number <br />Sadai Securlty Number <br />7863861 <br />Sales <br />I <br />91- 1 7 73 4 82 <br />Lien Sanal Number <br />lion 0letl wiN <br />Data of Lien <br />County <br />01/061353 <br />❑x Register of Deaea ❑Courty Clerk <br />06/2612001 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Busnas Name <br />Name - <br />TRI- GOLDEN GRAND ISLAND, L.L.C. <br />Street Address <br />Street or Mailing Address <br />4602 PLETTNER LANE, 4A <br />all State Zip Code <br />City State Zip Code <br />EVERGREEN CO 80439 - -- <br />- Type OTAotidn <br />n TERMINATION OF TAX LIEN. The Su Tax Lien is hereby fully ter nhated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, mWeld uel Income, and withholding tax only( <br />�Xj PARTIAL RELEASE. The State Ten Lien is partially released as bill UCC Instrument Number `J <br />County Instrument Number 2001064 <br />TAX YEARS (wrp.ri Individual iril and wludu ltling tax only) <br />[] SUBORDINATION. The State Tax Lbn bsubordinabd.srolloei UCC Instrument Number <br />County Instrument Number <br />I Of Seven (7) and NOM h One HunOreO TOlrty -FNe (135') Lot Eight (8), Menard Second Subdivision <br />in the City of Grand Island, Hall County Nebraska <br />detalmmation at vie rmin son, partial release, or subtedledun imlipabi above. <br />Sign Revenue Senior Agent 10/10/2002 085- -5073 <br />here Pre par a ig,ature Its gate Telephone Number <br />E Revenue Supervisor <br />Ac7tari a re Title Da <br />.au<e n.. see <br />