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12'17/2002 08:56 Fit 14024714429 <br />Or <br />mcnrkr <br />w »m,ml <br />Q003 <br />is ax <br />1 1111111111111 <br />Filed 21, /2092 03 A' at <br />Plosrrmunle: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENGE <br />i811 WEST 2D1a ST STE 460 <br />GRAND ISLAND NE 65803 <br />200214139 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />- <br />PLEASE DO NOT WRITE IN THIS SPADE <br />to the revenue laws of the State of Nebraska, notice is hereby <br />Pursuant <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 <br />terminated, partially released, or subordinated 10 the extent indicated <br />below. <br />Nenraska Idenf�kra'uon Number <br />Tax Ca <br />Social Security Number <br />$Pa0989 Social Security Number <br />8133794 <br />01 <br />507 -04 -9740 <br />Lien Serial Nuttier <br />Lien flletl with <br />Dale of lien <br />County <br />Oiii21319 <br />❑X 4egister or Deeps County Clerk <br />1 211 3/2001 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Dusineaa Name <br />Name <br />Gary R Lemburg <br />The Oasis <br />Streator Malting Aaaress <br />StraeL4ddress <br />1322 W Oth St <br />205 E Hwy 2 <br />Cloy Some zip Code <br />Chy State ZIP Code <br />Caro" ` . NE 68824 <br />Grand Island NE 68801 <br />at Action <br />TAXLEN. The Sl ate Tax Uenlsherebyfullytenrdna lea. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS ioorpomle, indielaual Income, and withholding tax only) <br />❑ PARTIAL RELEASE. The Sule Tax Lien is partially mhsed as lollaxa: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (currents, individual income, and withholding tax orgy) <br />❑ SUBORDINATION. The Stale Tax Lien is subordinated as follows. UCC ImAr ownl Number <br />County Instrument Number <br />-- 'hereby 6any that me Nebraska Depanmant el Revenue has rnmpliatl vend tNa reverue levee of the Slate of Nebraska in <br />deterTl 0 of a ter Loation . Partial release, or subordnadon indlcated above. <br />9 /� Revenue Senici Agent 12!1312002 �5LV-35'S -(,C73 <br />51 D Pre�r' ere Title aSfi Telephone Nurrber <br />here 12/1312002 <br />s R Supervisor <br />4.4; e Tipa Date <br />0.24" Pw. b66 £vKnebs <-]u] J rW 1n -45 <br />