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05/13/2005 16:03 FAX 14024714429 NEBRASKA UCC Q 002 /003 <br />Q <br />200504397 <br />- ..­ 11:11 RM <br />or <br />State Tax Lien Statement of Te7rmina.tion <br />k:..:..:.. Y <br />Kcal <br />or Certificate "of Partial Release or <br />Subordination <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 identification Number Federal Identification Number <br />39474356 <br />Lien Serial Number Lien filed with <br />981830292 X❑ Register of Deeds ❑ County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />Street Address <br />City <br />State Zip Code <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Social Security Number Spouse's Social Security Number <br />550 - 92-3408 553 -82 -3670 <br />=(0)7/02/1998 Tax Category County <br />HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />KEVIN T & MARGARET J PERRY <br />Street or Mailing Address <br />2222 BELWOOD DR APT 99 <br />3ity State <br />GRAND ISLAND NE <br />Type of Acdon <br />'. TERMINATION= t ?E'TAX LIEN. The State Tax Lien is herb full <br />Zip Code <br />68801 <br />e y -Y terminated. UCC Instrument Number ©91 I <br />.. <br />TAX YEARS (corporate, individual income, and withholding tax only) 1994 <br />❑ PARTIAL RELEASE, The State Tax Lien Is partially released as follows: <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows, <br />ZL <br />,D <br />County Instrument Number 98- 108309 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />I hereby cerfify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />sign Revenue Agent Iv 2005 <br />here tornized nature Title pate Telephone Number <br />35 <br />Revenue Senior Agent `/0 <br />n re Title <br />a te <br />4- 232-69 Rev_ 8-96 SUWI- 66 4,232 -9 Rev. 10-96 n <br />