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<br />12/16/2005 18:02 FAX 14024714429 <br /> <br />NEBR~SKA Dee <br /> <br />~ 003/003 <br /> <br />.,.""n <br /> <br />~"_:: <br />b.... <br /> <br />" . <br /> <br />200512313 <br /> <br /> <br />990154273615-4 P"s: 1 <br />VALLIER KEITH M <br />Filed: 12/16/2005 10:40 AM <br /> <br />I <br />I' <br /> <br />ar <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />(J~r~k" <br />i(tIjWit~ <br />~t~~ <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <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 /> <br />Nebraska Identification Number <br />26754142 <br /> <br />Federalldenlification Number <br /> <br />Social Security Number <br />559-02-9777 <br /> <br />Spouse's Social Security Number <br /> <br />Lien Serial Number Lien filed with <br />950130416 . !Rl Register of Deeds D County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br /> <br />Dale of Lien Tax Category County <br />11/01/1995 22 HALL <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Name <br />KEITH M VALLIER <br />Street or Mailing Address <br />2828 UPSHUR ST APT 202 <br />City State <br />SAN DIEGO CA <br />Type of Action . <br /> <br />IKI TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />street Address <br /> <br />County Instrument Number <br /> <br /> <br />City <br /> <br />State <br /> <br />Zip Code <br /> <br />UCC Instrument Number <br /> <br />TAX YEARS (corporate, indivldual,lncome, and withholding tax only) . 1993 <br /> <br />o PART'.AL RELEASE. <br /> <br />The Slate Tax Lien is paitlaliy releesed as fello""5: <br /> <br />-ucc instrument ~~Limber <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />sign ... <br />here <br />... <br /> <br /> <br />Revenue Agent <br />Title <br /> <br />Revenue Senior Agent <br />Title <br /> <br />8. /.05 <br /> <br />Dale <br /> <br />