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<br />03/15/2006 15:21 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />flI 002/007 <br /> <br />NIi S.e af 5t.h Jahn A 1i.1. . UCC TI. <br /> <br />DO <br /> <br /> <br />.200602304 <br /> <br />9906442824-9 PQS: 1 <br />ZIMMER DEBRA J. <br />FilMd: 03/13/2006 09:39 AM <br />Please Retuin Ongmal copy 1:0 me <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />69101 <br /> <br />Ir <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />. ' <br /> <br />. Subordination <br /> <br />IId:1l'\1111bo <br />OO~l'lI'Mli' <br />Ij(~ <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 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 />Nebraska Identification Nurnb~r Federalldenlificalion Number Social Security Number Spouse's Social Security Number <br /> , - ,n ,~" - 501-94...9424 <br /> 20822936 : '505-74-3209 ,. ~ ..., <br />'Lie(l Serial, Number .~, . -,' : :c, ., Lien fil~d with Date of Lien Tax Category County <br /> I2S] Register of Deeds tJ C'ounty Clerk ' " :jl...; <br /> 960930023 04/23/1998 22' " , "HALL ' ... ",". <br /> .. <br />I BUSINES'S 'NAME AND LOCATIO~ ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name' <br /> JACK A. & DEBRA J. ZIMMER ." . <br />Street Address Street or Mailing Address <br /> . , 4160 WEST 1R ROAD <br />City State Zip Code City Stale Zip Code <br /> GRAND ISLAND NE 68803 <br />I Type of Action 1 <br /> , -- . - <br /> <br />IKl TERMINATION OF TAX LIEN_ The State Tax Lien is hereby fully terminated. UCC Instrum~nt NumberG89610397U' <br />County Instrument Number 96 103977 <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 1994,1996 <br /> <br />The State Tax Lien is partially released as follows: <br /> <br />UCC h'lstrument Number <br />County Instrument Number <br /> <br />o PARTIAL RELEASE. <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br /> <br />o SUBORDINATION, <br /> <br />The State Tax Lien is subordinaled as follows. <br /> <br />UCC Instrument Number <br />County I,nstrument Number <br /> <br />sign . <br />, here' <br />.... .' <br /> <br /> <br />erebY'certify that the Nebraska Depaftment of Revenue has complied with the revenue laws of the State of Nebraska in <br />inalion of the terml~tion, partial release, or subordination indicated above. .. ,.' ... , <br /> <br />3/0-010 . <br /> <br />Date, <br /> <br />Authon;;!. <br /> <br />re <br /> <br />Revenue Aqent <br />Title <br />Revenue Supervisor <br />Title <br /> <br />306 53S.:.a294" <br />Telephone Number <br />. ~/o-()6 <br />Date <br />~-232-68 Rev. !Io-96 Supersede> 4-232-69 Rev: 10-95 <br /> <br />~p <br />