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05/17/2005 16:42 FAX 14024714429 NEBRASKA UCC 10002 /002 <br />200504490 <br />NE See M State - UCC TOS <br />998539498,6 —e PQs; � <br />.1UNE5 DE LEON JUAN M <br />Filed! 06/17l20t15 10:37 AM <br />State Tax Lien Statement of 7ermtnation', <br />r, <br />or Certificate of Partial Release or <br />�t 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 />37071408 <br />Lien Serial Number Lien filed with <br />42680278 21 Register of Deeds El County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />Street Address <br />PLEASE DO NOT WRITE IN <br />Social Security Number Spouse's Social Security Number <br />606 -64 -6421 <br />Date of Lien Tax Category County <br />04/21/2005 1 z, HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />JUAN M JUNES DE LEON <br />Street or Mailing Address <br />247 S VINE <br />City State Zip Code City state Zip Code <br />GRAND ISLAND NE 68801 <br />Type of Action <br />', _' lERM111AliON..QF iA7C:LIEW The State Tax Lien is hereby fully terminated. UCC Instrument N b A� <br />TAX YEARS (corporate, individual income, and withholding tax only) 2002 <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 />um er 05391 Q7 <br />County Instrument Number 200503670 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that t Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />date ' a - of the ation, partial release, or subordination indicated above. <br />sign Revenue Agent �� a�5 402 471 -5835 <br />here rape er's Signature Title Date Telephone Number <br />► Revenue Senior A ant <br />uthortzed Sign ure Title Date <br />4- 232 -E8 Rev. 9-98 Supersedes 4- 232-69 Rev- 10-N <br />