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200608911
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Last modified
10/5/2006 8:21:10 AM
Creation date
10/5/2006 7:58:58 AM
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200608911
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<br />10/03/2006 16:36 FAX ~4024714429 <br /> <br />, NEBRASKA Dee <br /> <br />IaI 005/009 <br /> <br />. Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />J 811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200608911 <br /> <br />\1\\\~II\\\I\'~I\\III'II[I\1 <br /> <br />99084733315-9 Pss. 1 <br />HOUGH DOUGLAS R. <br />FLied, 10/03/200602:14 P" . <br /> <br />ora <br /> <br />IIr <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />Ill}bi;ub <br />dOpcll'llMn_ <br />of J4.v""110 <br /> <br /> PLEASE DO NOT WRITE tN THIS SPACE <br />Pursuant to the .revenue laws of the Stat~.of Nebra~ka, notice Is hereby <br />given that the State Tax Lien which has b~en duly fiied by the Nebraska <br />Department of Revenue against the belo~.named taxpayer, is <br />terminated; partially released, or subordi?ated to the 'extent indicated <br />below. <br />Nebraska Identification Number Federalldenlification Number Social Security Number Spouse's Social Security Number <br /> 8390754 i 507-90-0105 <br />l,.i~.T.1 Serial Number Lien filed with Date of Lien Tax Category County <br /> 3/07/402 ." [!] ~egiste.r o{ D~dS 0 County Clerk 07/12/2003 01 21 Hall <br /> , ,., <br />r.. ..... BUSINESS NAME ~ND LOCATioN'"AODRESS' . - , .. , . . ':.:rAX~AY.I:R NAME AND MAILING A~D.RESS <br />'I I.' .. ' . <br />Business Name . Name . . ". ..' <br /> , <br /> .. .. <br /> . 'Douglas A Hb"ugh . . .. - "," <br />Street Address . , ; Street or Mailing Address-. <br /> .. <br /> '- : 120 E Third Street. <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br />I I , Type of Action . I <br />.~. TERMINATION OF TAX LIEN. The State Tax Uen Is hereby fully terminated. UCC Instrument Number (9903286725-3 ..,) <br /> <br />TAX YEARS (corporate, lndlvidu~llncome. an~ wlthho!dlng tax only) <br /> <br />County Instrument Number 200309467 <br />2002/2003 <br /> <br />D . PARTIAL RELEASE. <br /> <br />.. . <br />The State Tax Li~n Is'partlally released as follows: <br /> <br />UCC IRstrument Number <br />county Instrument"Number <br /> <br />. j <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />. 0 SUBORDINATION. <br /> <br />Th~ State Tax Lien Is subordinated as follows. <br /> <br />I <br /> <br />UCC Instrument Number <br />county Instrument Number <br /> <br />-' <br />. <br /> <br /> <br />. '1 h'ereby certify thatlh~ N~~raska De~artment of Revenue has compiled with the revenue laws of the State of Nebraska in <br />determ\natlon of he termination, partiill'r,eleas6, or subordination indicated above. : : . - . . <br /> <br />- Revenue Senior Agent q I ",-q 115~ <br />Tille Date . <br /> <br />Revenue Supervisor <br />Tille <br /> <br />308 385-6073 <br />Telephone Number <br />e!.:l9/0b <br />De. <br /> <br />\D <br /> <br />4-232-aB Rev. 8-96 Supersedes 4-232-a9 Rsy. 10-95 <br />
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