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1DI1112002 16:09 FAX 14024714429 NEBRASKA UCC lZ000: 004 <br />STATE OF NEBRASKA Illlull 111 llll IIIIII IIIIIi�I �� <br />DEPARTMR,7 OF REVENUE 99a2239718— psa. , <br />1811 WEST 1- ST STE 460 F';«EN Ca1N11m120B3 03:38 PN <br />GRAND ISLAND NE 68803 <br />Or <br />.rewww <br />eerewm <br />Nmra,r <br />200210999 <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 of the 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 Idwfficabon Number <br />Tax Category <br />Federal Identification Number <br />'Social Secudry Number <br />7863661 <br />Sales <br />Lien Serial Number - <br />Lim tied with <br />Date of Lien <br />County <br />y <br />Register of Deeds ❑ County perk <br />0411112001 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILINO ADDRESS <br />Business Name <br />Name <br />TRI- GOLDEN GRAND ISLAND L.L.C. D /S/A Golden Comal <br />TRI- GOLDEN GRAND ISLAND, L.L.C. <br />St"t Andress <br />Street or Mating Address <br />2435 Diers Ave <br />4602 PLETTNER LANE, 4A <br />City <br />State Zip Cede <br />Ciry State Tip Cade <br />Grand Island <br />NE 68801 <br />EVERGREEN CO 60439 <br />�. <br />—� <br />Type of Action I <br />D TERNINATIONOPTAXLIEN, The State Tax Lien is hereby fully !erminated. <br />TAX YEARS <br />PARTIAL RELEASE. <br />ideal income, and withholding tax only) _ <br />The State Tax Lim is partially released as fellows: <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, Individual Income, and withholding tax arty) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />Lot Seven (7) and North One Hundred Thirty -Five (135) Lot Elohl (8) Menard Second Subdivision _ <br />in the City of Grand Island Hall County, Nebraska <br />deterTlnationof the termination, partial he ease or subordination indicated above bo8)u'� <br />Sign Revenue Senior Agent 10itOY2002 385 -6073 <br />here Prep fee IgnaWre Tl ne Date Telephone Number <br />O' Reyenue$UDBNISDr <br />AuNOri d eturc Title D <br />.¢ruse ae.. ass s o." .... ..azas ew. mss <br />