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<br />05/30/2006 16:19 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />Ig] 005/006 <br /> <br />~~~m~ 200604828 <br /> <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND 8T 8m 460 <br />GRAND ISLAND NE 68803 <br /> <br />1"'[I1rll'rl"lrl'l <br /> <br />9906455238-1 PIl$: 1 <br />ELDER WILLIAM J <br />Fil8d: 05/30/2005 02;49 PM <br /> <br />~. <br /> <br />Ir <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />"~tuli.. <br />dGp~1I1ft1011; <br />of 10'\'*'1110 <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> . <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 /> .' <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 /> 6/10/386 o Registe~ of Deeds 0 County Clerk 1 0/09/96 21 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Businesli Name Name <br /> William J Elder <br />Streel Address Street or Mailing Address <br /> 656 Swan Lake' <br />City Slate Zi'p Code' City State . Zip Code <br /> Grand Island NE 68801 <br />I Type of Action " _, ., ~ ~. I....~ '",. ."..... 1 <br /> ,- <br /> <br />!Kl TERMINATION OF TAX LIEN. The State Tax lien is hereby fully terminated. UCC Instrument Number c::..6tqro j 086)5 ) <br />County Instrument Number 96-1080'23"='--'"'' <br />TAXYEARS (corporate, individual income, and withholding tax only) 1995/1996 <br /> <br />D PARTIAL RELEASE. <br /> <br />The: Stale Tax lien is partially released as follows: <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />___~ TAX YEARS (corporate,lndividual income, and withholding tax only) <br /> <br />o SUBORDINA nON. <br /> <br />The Stale Tax lien 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 />dele~i~~on 0 the termination, partial release, or subordination indicated above. , A7 <br /> <br />, Revenue Senior AQent~(P / jooto 30B 385.6073 <br />Title Date Telephone Number. <br /> <br />RevenueS.en/oY" ~V)+- 5/ diu / :J()()h <br />~ 0* . <br />4-232-6B R"V. 0.96 Supersed"s 4-232-69 Rev, 10-95 ~~ <br /> <br />