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<br />02/14/2007 17:00 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 002/004 <br /> <br />, 9907495941-2 PSIS: 1 <br />REDWINE SHANE ' <br />, FlIed, 02/14/2007 02:18 PM <br />Please Return Original Copy to the ---, -. .. <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />691-01 <br /> <br /> <br />Db. <br /> <br />200701197 <br /> <br />IIr <br /> <br /> <br />State' Tax .Lien Statement of Termination <br />or Certificate of Partial Release, or <br />Subordination <br /> <br />1I~ <br />.~ <br />ofl$~ <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 dulyfil- by the'Nebraska <br />_Department of Revenue against the below-named taxp yer, Is <br />,terminated, partially released, or subordinated to the e nt Indicated <br />below. <br /> <br />Nebraska Identification Number <br />29491983 <br /> <br />Federal Identification Number <br />\ <br /> <br />Social Security Number <br />506-94-0765 <br /> <br />Spouse's Social Security Number <br />505-02-3016 <br /> <br />Lien Serial Number Lien filed wilh <br />51330039 ~ Register of D~~s D County <br />BUSINESS N,AME AND_ LOCATION:ADDRESS : <br />Business Name <br /> <br />lerk <br /> <br />, Date of Lien Tax Category' County <br />12/06/2006 ~ '2- HALL <br />_; rAXPAY~R flIAME_AND MAiUNG'ADI:?RE5S - <br /> <br />City <br /> <br />, Stale' <br /> <br />Zip Code <br /> <br />Name <br />SHANE & TERESA REDWINE <br />Street or Mailing Address <br />4152 HARTFORD ST <br />City <br />GRAND ISLAND <br /> <br />State <br />NE <br /> <br />Zip Code <br />68,803 <br /> <br />Slreet Address <br /> <br />1AX YEARS (corporate. indivtduallricome, and Withholding only) 2002 <br /> <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />9906484192 8 <br />20061091,5 <br /> <br /> <br />Ty e of Action <br />IZl TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully erminated. <br /> <br />o PARTIAl. REL.EASE. <br /> <br />The State Tax Lien Is partially rele ,ed as follows: <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Indlvidu~1I income, and withholding ta only) <br /> <br />o SUBORDINATION. <br /> <br />The Sla1e Tax Lien Is subordinate as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />I hereby certify that the Nebraska Departmenl of Reven e has cOlT!phed with the revenue laws of the State l?f ~ebra~ka in _. <br />.i:l, ,'rmlnatio of the t~i lion, partial release, or subordl ation indicated above. ' -.. . " ' " "' ., /. <br /> <br />sign ~ <br />here <br />~ <br /> <br /> <br /> <br />Date <br /> <br />308 535-8294 <br />Telephone Number <br />:.l ~ / ;)..~ 7 <br />Date ' <br />4-232.08 Rev. 8.96 Supersades4-232-69 Rell. 1ll-9S <br /> <br />o <br />