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07 %25/2003 16:31 FAX 14024714429 <br />r' <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMEN 1 OF REVENUE <br />1811 WEST 2" ST STE 460 <br />GRAND ISLAND :ATE 68803 <br />NEBRASKA UCC <br />200309753 <br />Z002r'005 <br />Na I.. o4 f4.i. . UCC 700 <br />9983287348 -4 Pon: 1 <br />FODE SANDRA L <br />Pi lid : 07!26!2003 02:29 PM <br />Or Notice of State Tax Lien <br />iebrusb3 <br />department <br />etreverue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />T-RuwATION aF STATE TAX LIEN <br />1VIVIVIDUAL INCOME TAX <br />IF YCU INQUIRE ABOUT FOUR <br />ACCOUNTi, REFER TO THESE .%U"B=-RS: <br />SaC.. SECq.,,8MD. <br />` T <br />3 'E&R.. ,tiiN - K0+ <br />spuu&E SDC• .SFC- <br />T,i3r ABLE YEAR <br />LIcR 4t • <br />LIEN RELEASE Mips <br />COUNTY <br />SAT "fir <br />Nom. <br />INSTf LMENT AEG. 'JCC <br />IMSTRU ENT MS* CTY <br />58 ,5940.2,40 <br />428311 *$ <br />1999 SANDRA L FOCTE <br />911 9 PHOENIX AVE <br />13192336.1 GRAND ISLAM HE 66801 <br />hiW, <br />PURSUAAtT TO THE REVENUE LAWS OF THE STATE GF NESRAS A: NOTICE IS <br />HERESY GIVEK BY THE NEBRASKA DEPARTMENT OF R'EVENUi THAT THE <br />STATE TAX LIEN wncH HAS BEEN DULY FILED AGAINST THE .ABOVE NAMED <br />TAXPAYER FUR INDIVIDUAL iNCONE TAXES IS TERMINATED. <br />T HEREBY CERTIFY THAT THE NrBRASKAI <br />VITH THE REVENUr- LAWS OF THE STATE <br />THIS TERMINAT Si- <br />DEPARTMENT OF REVENUE HAS COMPLIED <br />of NEBRASKA: IN THEM DETERMINATION OF <br />P.tEPAREROS S IG�i?�T JRE TITLE 7 <br />A iii k�kir <br />SIGN T' E <br />-�" ,0✓ <br />DATE <br />.� <br />ou.�..... <br />ATE" .°: <br />PLEASE RETAIN THIS OTICS WITH YOUR PE RiyAN-E T FECORDS* <br />MPAPACKA nEPARTMENT OF AEVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />7- 14s7979 Rev. 10.1995 <br />iP <br />