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<br />11/20/2006 17:27 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 002/002 <br /> <br />00, <br />\) .' <br /> <br />.1111"'11 <br /> <br />~OOI'IJ SKI I'I8E:RL. Y R PI' : 1 <br />.tled, 11/28/2008 02, <br />", .38 PM <br /> <br />200610388 <br /> <br />Ir <br /> <br />State Tax Lien Statement 'of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />1l~, <br />"'....... <br />~....... <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.hamed taxp~yer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br /> <br />Please forward to: <br />NebraskaDe~ofRevenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff. NE 69363-1500 <br /> <br />Nebraska IdentifiCation Number <br />8739811 <br /> <br />Tax Category <br /> <br />21 <br /> <br />" <br />,../ ' <br /> <br />Social Security Number <br />506-02-4592 <br /> <br />Spouse'S So(;lal Security Number <br />505-84-9273 <br /> <br />Lien Serial Number Lien filed with ... . .. Date of Lien '. . County , <br />... 6'~2006..ob10 ... [ZJRegjsteqlf[)~d.S o County Clerk 04/05/2006 'Hall <br /> <br />,I BUSINESS NAME AND LOCATION ADDRESS . TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Kimberly A & Scott A 'Loomi~ <br />Street,Address Street or Mailing Address <br />2310 West Oklahoma Ave <br />City State Zip Code City State Zip Code <br />Grand Island NE 68803 <br />I Type of Action I <br /> <br />~l TERMlNA1l0N OF TAX LIEN, The State Tax Uen is hereby fully terminated. UCC Instrument Number ~6447883-8 ./ <br /> <br />County Instrument Number~~g3443 . ' <br />TAX YEARS (corporate, Indlviduallncoine. and wlthli.oldlrig tax; only) 2003, 2004 <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 inco,,!e, and withholding tax onty) <br /> <br />o SUBORDINATION, <br /> <br />The Stale Tax Lien is subordinated as follows. . <br /> <br />. UCC Instrument Number <br />County Instrument Number <br /> <br />I her, by certify that the Nebraska Department of Revenue. has .complied with the revenue laws of the Stale of Nebraska in <br />dete . 'n ofth rminatio rtis! release, or subordination indicated above. ,~/.;;/ Ii / <br /> <br />sign,..' . Revenue Supervisor /I'@&..~ 308 632-1200 <br />here Pre Tille Dale I Telephone Number <br /> <br />... Revenue Supervisor ///J6~t <br />Tille Date' I <br />-4-232-M Rov. 8-96 SUpllt"d~ 4-232-69 Rev. 10-95 <br /> <br /> <br />cP <br />