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<br />05/12/2006 16:05 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />f4I 002/004 <br /> <br />~ <br />) <br /> <br />Ilr <br /> <br />nebraska <br />departmllnl <br />of revenue <br /> <br />200604230 <br /> <br />\'\lrllI1IIII111111 <br /> <br /> <br />WRSHINGTON HENRY H <br />Filed: 05/12/2006 0~:52 PM <br /> <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />. South Silber, North Platte, NE <br />69101 <br /> <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />iF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br /> <br />SOC. SEC. NO. 505921872 <br />NEBR. IDENT.' NO. 31791174 <br />SPOUSE soc. SEC. NO. <br />,TAXABLE YEAR 2003 <br />LIEN NO. 042330123 <br />LIEN RELEASE NO. 061235604 <br />COUNTY' HALL <br />DATE OF NOTICE .0~.f~Q'i <br />INSTRUMENT NO. UCcdtf~~~~~;:.P <br />INSTRUMENT NO. CTY ...- .f:SAk. <br /> <br />PURSUANT TO THE REVENUE LAWS OF THE STATE' OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY, FILEP AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br /> <br />HENRY H I WASHINGTON <br />50$ iE'q-ffJ <br />GRAND ISLAND NE 6880'3 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPART~ENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THIS TERMINATION. <br /> <br />..-I <br /> <br />.~'t.d/.~. .. <br /> <br />ZER'S SIGNATUR <br /> <br /> <br /> <br /> <br />. . . . . . - . . . <br />AUTHO <br /> <br />..Yw~~....... <br />LE <br /> <br />.. .~~......... <br /> <br />TITLE . <br /> <br />_ ~-:r:f:-~~- . " . <br />DATE <br /> <br />. _6:J ~'.' . . . . . . . ~ <br />DATE <br /> <br /> <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br /> <br />~\) <br /> <br />,fN5101()lf <br /> <br />~ <br />