Laserfiche WebLink
<br />02/15/2006 12:14 FAX 14024714429 <br /> <br />NEBRA~KA Dee <br /> <br />~ 0021006 <br /> <br />~ <br /> <br />200601336 <br /> <br />9906438467-5 <br />GUARDIOLR MRURICIO <br />Fil.d: 02/14/2006 01:18 ~ <br />Please Retu 0" . <br />N b m ngmal Copy to the <br />e raska Dept. of Revenue at 200 <br />South Silber, North Platte NB <br />69101 ' <br /> <br /> <br />.1 <br />I <br /> <br />) <br /> <br />Ir <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />1'I0l:l~~ <br />~ <br />OJ~ <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />Pursuant to the' revenue hlws ofthe State of Nebraska, notice is here'by <br />given thaHhe 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' Federal Identification Number <br />36744880 <br /> <br />Social Security Number <br />337-78-9903 <br /> <br />spouse's Social Security Number <br /> <br />Lien Serial, Nu-mbei' _' . - .. .. L1Em filed with <br />41 !7g~09 _~ Register of Deeds _D courty Clerk. <br />I : BUS'INESS NAME AND LOCATION ADDRESS . , . <br /> <br />Date of Lien <br />06/25/2004 <br /> <br />Tax Category <br />22 . <br /> <br />County <br /> <br />~ ....., c .." <br /> <br />'. HALL~ .." <br /> <br />TAXPAYER NAME AND MAILING ADDRESS-,' <br /> <br />Business Name '. <br /> <br />'. <br />. , <br /> <br />. Name <br /> <br />City <br /> <br />Z.ip Code <br /> <br />MAURIClO.GUARDIOLA- <br />~!~I.or Mailing Ad~I!~", <br />. . 314 S KIMBALL <br />City <br />GRAND ISLAND <br /> <br />.' _', I ,," ....; <br /> <br />__sJ!:~etM~r~_5:L~__ . <br /> <br />._._.~_." .-----........------'"- --- - ~_.__.- <br />...., .... ,." <br /> <br />State <br /> <br />State <br />NE <br /> <br />zjp c::ode <br />68801 <br /> <br />r <br /> <br />Type of Action <br /> <br />I <br /> <br />129 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully tenninated. <br /> <br />- -- <br />UCC Instrument Number c9905388.D78 T ) <br />County Instrument Numt;Jer 200503068 - <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax only) .2002 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien' is partially released as follows: <br /> <br />UCC Instru~ent Number <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 />. , <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In <br />det ..in~tion of the termin~n, ~artial r,elease, _or subo~ination indicated above,_ . <br /> <br />V Revenue Agent ',:. d-~'~00;::' ~. - . 'C'-. 308:535-8294 <br />Title Date Telephof)eNumber <br /> <br />Revenue Supervisor ;;?:j:: ~6 <br />Tille . Date . , . (). <br />4-232-66 R"v. 6-.96 Sup.rsed~' "-232~9 R"v. 10-95 ? V" <br />