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09/18!2003 16:15 FAX 14024714429 <br />NEBRASKA UCC <br />{ <br />200312687 <br />• pl�n:�to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVEMX <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />Or <br />�NKsska <br />doWnrouN <br />of rs"O" <br />Ia002i002 <br />N[ Sae of Si•ia - UCC Tom <br />3295375 —t Poo: 1 <br />Filed; 0 19//2003 09:117 4M <br />t$ Tax Lien Statement of Termination <br />oI Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS S <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 N I braska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indi ated <br />below. <br />Nebraska Identification Number Tax Category Federal Identification Number Social Security Number <br />7889908 01 I 91- 1862198 <br />Lien Serial Number Lien filed w'th Date o Lien County <br />9/08 /390 xn Reglster of Deeds County Clerk 08/16/1999 Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />TR -STATE FLOORING, INC <br />Street Address Street, r Mailing Address <br />266 OLD FAIR ROAD <br />City State Zip Code City <br />GI <br />L Type of Action <br />Q TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully lerrrdnated. <br />TAX YEARS (corporate, Individual Income, and withholding tax only! <br />r-t <br />state Zip Code <br />D ISLAND NE 68803 <br />UCC Instrument Number <br />County Instrument Number 1/843083 <br />u • �•� • �� �.��•���- 11 io %,>LdLtl i ox Lien is paraany imeaseo as ro{{ows: <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />SUBORDINATION. The State Tax Lien is subordinated as folbws. <br />UCC Instrument Number <br />County instrument Number <br />Tax Len was filed Ne UCCDiv Aun 20, 99 8:00 A.M. Sec of State <br />1 hereby certify that the Nebraska Department of Revenue has compii <br />deter In ti oft a It 'nation part release, or subordination indicated <br />sign Revenue Senior Agent <br />here Pre reel Sign tore Title <br />Revenue Superv4or <br />3d with the revenue laws of the State of Nebraska in <br />above. <br />09/17/2003 308- 385 -5073 <br />II Date Telephone Number <br />09/17/2003 <br />Authoriz i n ure Title Date <br />' 443288 Roy. 8 -96 Supaiaadaa 4.432 -80 Ray. 10 <br />