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<br />05/30/2006 16:19 FAX 14024714429 <br /> <br />NEBRASKA uee <br /> <br />141 0041006 <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />2.00604827 <br /> <br />1111"111" <br /> <br /> <br />9906455%37-9 Pl1s. 1 <br />ELDER WILLIAI'I J M <br />Flied: 05/30/2006 02:49 P <br /> <br />d <br />('\) <br />,j <br /> <br />r ,.- <br /> <br />IIr <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />n~~1Q <br />dOJllnmont <br />of rtflIlM <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />give~ that .the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against th, 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 /> 6169317 512-46-6359 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br /> 7/02/341 IKl Register of Deeds 0 coun~ Clerk 02-27-97 21 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> William J Elder <br />Street Address Street or Mailing Address <br /> 656 Swan Lake <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br />I Type of Action ..,~"~_'~"'"'" ".. ...._". .., I <br /> .- <br /> <br />[g] <br /> <br />TERMI~ATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />UCC Instrument Number <br />County Instrument Numl1er <br /> <br />45~s..J Q"1~ <br />.W.o. _"I.!_,_l \.:J ) . <br />97p101464 . <br /> <br />TAX YEARS (corporate, Individual income, and withholding tax only) 1996 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien 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 />sign ... <br />here <br />.. <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the Slate of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br /> <br />cy:'~/(;(}~ <br />pm~j~JP:~ <br /> <br />Aut or' d Signatu <br /> <br />Revenue Senior Agent <br />