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<br />-----~~-----~~-----"~--~-----'-_._----" <br /> <br />02/24/2006 15:33 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 005/006 <br /> <br />200601666 <br /> <br />1lllltlllrll' <br /> <br />51916439&15-1 Pei: 1 <br />MENDEZ GENRV <br />Flied: 02/21/2006 02:33 PM <br /> <br />\)~ <br /> <br />It <br />Il~~~ <br />.l1IdmillQ , <br />~~ <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />i. <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <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 flied 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 />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 8802297 605~56-0549 <br />LIen Serial Number Lien filed with Date of Lien Tax Category County <br /> 120050214 [29 Register of Deeds 0 County Clerk 07/29/2005 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Genry Mendez <br />Street Address Street or Mailing Address <br /> 1114 N Broadwell Ave <br />City State Zip Code City Stale Zip Code <br /> Grand Island NE 68803 <br />I Type of Action I <br /> ~ <br /> <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />UCC Instrument Number <;9~~~6! 39.:0) <br />, County Instrument Number 200507506 - <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax only) . <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Uen is partially released as follows: <br /> <br />ucc Instrument 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 Uen is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br /> <br />Department of Revenue has complied with the revenue laws of. the State of Nebraska in <br />r sUbordination indicated above. <br /> <br />;2i&{)~ <br />Date <br /> <br />'402 471-5788 <br />Telephone Number <br />;1.../ h {,7h <br />Date <br />.-=".... ........,.. =-~ '"' '"~ $ <br /> <br />Authorized Signature <br /> <br />Revenue Senior Agent <br />Tille <br />