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03/23/2005 16:43 FAX 14024714429 NEBRASKA UCC IM002 /004 <br />,�g <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND .ISLAND NE 68803 <br />or <br />department <br />Of revenue <br />X[ tre of Siaio - UCC ie9 <br />8805385608 : 1 <br />HERNANDEZ JOROE R GARCIR Pos <br />Filed: 03/23/2008 10:52 AM <br />20050;}537 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS_ <br />SOC. SEC. NO. <br />NEBR. IDENT. NO.- <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />LIEN RELEASE NO. <br />COUNTY <br />DATE OF NOTICE' <br />INSTRUMENT NO. UCC <br />INSTRUMENT NO. CTY <br />621101579 <br />38852948 <br />1995 JORGE -A GARCIA <br />993690145 102 N LANE <br />050767532 GRAND ISLAND NE 68803 <br />.. HALL <br />03/16/2005 <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY-FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF-THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />IS TERMINATION. <br />Up& �k� <br />PARER 'S•SI A -••. <br />AUTH SIGNA <br />14.1 so <br />T I TT DATE <br />TITLE DA E <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br />J <br />IM5 lo/09 <br />