Laserfiche WebLink
<br />10/30/2006 17:35 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 0021003 <br /> <br />N! S... of $hl. John II 1101. "lICe n_ <br /> <br />~ <br /> <br /> <br />200609698 <br /> <br />9986471800-0 Pes: 1 <br />PET5KR MRILYN E <br />Filed: 1013012006 03:5e PM <br /> <br />'" <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />,,~~ <br />dc~dr.lnill <br />of MOM <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 taxp",yer, 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 /> 28133307 507-64-5117 <br />Lien Serial Number Lien filed with Date of Lien' Tax Category County <br /> 020810030 ,r!] Register of Deeds 0 County Clerk 03/22/2002 22 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> - Marilyn E Petska <br />Streel Address , Street or Mailing Address <br /> 1322 Hagge Ave <br />City State Zip Code City Stale' Zip Code <br /> Grand Island NE 68801 <br />I Typ~ of Action , . I <br /> .. <br /> <br />[!] TERMINATION OF TAX LIEN. The Slate Tax Lien is hereby fully terminated. UCC Instrument Number 0902248504-17 .) <br />County Instrument Number 200214024 <br /> <br />TAX YEARS (corporate. individual income, and withholding tax:only) . 2000 <br /> <br />D PARTIAL RELEASE. <br /> <br />. The State Tax Uen is pertially released as follows: <br /> <br />ucc Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corpor.te, individual Income. and withholding tax only) <br /> <br />D SUBORDINATION. <br /> <br />The State Tax Uen is subordlnaled'as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br /> <br />he Nebraska Departmenl of Revenue has complied with the revenue laws of the State of Nebraska In <br />ination, partial release, or subordination Indicated above. , . f J-.iL/ ~ ' <br /> <br />Revenue Agent lOr 0 402 471-5835 <br />Title Date Telephone Number <br /> <br />Revenue Senior Agent /;.j . 7..s'".;.o6 <br />Title Dale. <br /> <br />~) <br />