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it /24.12VU 09:28 FAX 14024714429 NEBRASKA UCC Q004/004 <br />200315338 <br />'Pled rzdun tu: ' <br />STATE OFNEBRASKA <br />DEPARTMENT OF RE-VENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />COMPLETE <br />Filed! 11 <br />1 - ucc + re■ <br />I <br />Pat , 1 <br />ICfiL CARE INC <br />12003 04:11 PR <br />State Tax Lien Statement of Termination <br />Or or Certificate of Partial Release or <br />A*1441w Subordination <br />ecr,a�+oelu <br />vr. <br />Type of Action I <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number <br />_ County Instrument Number 98 -1076 <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 1998 <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />17 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />I hereby cenifr that the Nebraska Depart ment of Revenue had cdinpLied with the revenue laws of the Stare of Nebraska in <br />detelminaiion of the ter atlon, r'jal release, or subofd nation indicated above. <br />Sl9t1 (� �1 ,� Revenue Senior Agent 11/20/2003 308- 385 -6073 <br />here Preparer's Signature <br />Title Date Telephone Number <br />�7'z Revenue Su ervisor -,1120/2003 <br />Title Date <br />P. Jthor'Z� url n tU 4- 232.68 Rev. B3E Super;adas 4d22.a5 r ` <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />that the State Tax Lien which has been duly filed by the Nebraska <br />given <br />Department of Revenue against the below -named taxpayer, is <br />terrninated, partially refeased, or subordinated to the extent Indicated <br />below. <br />Nebraska Identficatlon Number <br />Tax Category <br />Federa: Identification Number <br />Soda! Security Number <br />7841773 <br />.7i , <br />91- 1789212 <br />- -- <br />�ien Serial Number <br />Lien riled with _. <br />Date of Lien <br />CoLmty . <br />IgRegister of•DeedlCounty Clerk <br />L� <br />8(05/1 998 <br />Help <br />-!" <br />' BUSINESS NAME AND LOCATION ADDRESS - ° °•- <br />TAXPAYER _.NAME AND MAILING ADDRESS <br />- <br />3usizess Na:�e ... _ <br />- - <br />Name_ . _ _ <br />Complete Medical Care, Inc. - <br />- <br />Street Address <br />Sheet or Malling Address <br />2929 South Locust Street <br />�,ty State Zip Code <br />ty State Zip Code <br />Grand Isiali NE 68801 <br />I -� <br />Type of Action I <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number <br />_ County Instrument Number 98 -1076 <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 1998 <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />17 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />I hereby cenifr that the Nebraska Depart ment of Revenue had cdinpLied with the revenue laws of the Stare of Nebraska in <br />detelminaiion of the ter atlon, r'jal release, or subofd nation indicated above. <br />Sl9t1 (� �1 ,� Revenue Senior Agent 11/20/2003 308- 385 -6073 <br />here Preparer's Signature <br />Title Date Telephone Number <br />�7'z Revenue Su ervisor -,1120/2003 <br />Title Date <br />P. Jthor'Z� url n tU 4- 232.68 Rev. B3E Super;adas 4d22.a5 r ` <br />