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<br />03/02/2007 13:26 FAX 14024714429
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<br />NEBRASKA Dee
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<br />IgJ 004/004
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<br />Please return to:
<br />STATE OF NEBRASKA
<br />DEPARTMENT OF REVENUE
<br />] 8 I I WEST 2ND ST STE 460
<br />GRAND ISLAND NE 68803
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<br />200701604
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<br />Pursuant to the re~enue laws of t~e Sta~ of Nebraska, notice is ~ereby
<br />given that the State T~ Lien Whi~h has been duly filed by the Nebraska
<br />Department of Rev~nue against ttle below-named taxpayer, is :-
<br />terminated,'partially~eleased, or subo,rdinated to the extent indidated
<br />below. - ,
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<br />9538720 .' ': r'
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<br />Federal Identification Number
<br />20.2602411
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<br />Social Security Number '
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<br />Nebraska Identification Number
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<br />Lien-Serial Number' Lienfil~ with", -
<br />'031061005 , , ' -I!J Reg-Ister of Deeds 0 County-Clem
<br />BUSIN S: ,NAME AND LOC~T'ON APDRESS
<br />Busin'ess Name I
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<br />Dale of 'len' ,
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<br />05/~9/2006
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<br />City
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<br />Zip Cod~
<br />68803 ;
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<br />TAX YEARS (cor or~tlil. individual inc~me, and withholding tax only)
<br />o PARTIAL RELEASE,] , The Stat~ Tax Lien is partially released as follows:',
<br />
<br />TAX YEARS I"'~ ,10. '"dividu,"noqma. and wlthhold;ng la. O"lyl
<br />o SUBORDINATION The Staib Tax Lien is subordinated as follows,
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<br />UCC Insu, mBntlNUmbtl~ :!, 9Q06452628-5
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<br />County I~ tr~ ant ~U~ber' ;12Q06041
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<br />UCC Inst~ m n :Nu~be~ " ' : i
<br />County In trul nt ~um,er. : I
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<br />[K] TERMINATION Of TAx LIEN,
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<br />sign ""
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<br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue law'
<br />determination of the termination, partial release, or subordination Indicated above:
<br />
<br />r-Y' J: 4, ..r/!"h.J Revenue Senior Ag~nt
<br />Pre~ Signature I I Title
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<br />Revenue Su elVisor
<br />Title
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<br />f the Stale oJ; ebraska in
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<br />! 7 'I i 308 385--6073
<br />I: ,j : jelePhOne %ber
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<br />: :'; i~:~~ 07
<br />'r ,321 ij~FB-s6 "1~eroedOl$ 4-23~-l39 Rev, 10-95
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