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<br />r <br /> <br />lI~b"11I8 <br />IItment <br />, g,r:lVllnU8 <br />I..lon Sorlal Numbor <br /> <br />State Tax Lien m~~...,., <br />Statement of Termination or C ,~, 100525 <br />Certificate of Partial Release or Subordination <br /> <br />oocu",ent Serla' <br />Number <br /> <br />Date of Lion <br /> <br />SOCial Security Numbor or <br />Fodorel 1.0. Numbor <br /> <br /> <br />4981987 Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br /> <br />Buslooss Name <br />Poppa Teds <br />Street Address <br />102 W. 4th St. <br />City <br />Grand Island. <br /> <br />Na",e <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Ted Grasso <br />stroot or Othor Mailing Addross <br /> <br />Stato <br /> <br />Zip Codo <br />68801 <br /> <br />102 W. 4th St <br />City <br />Grand Island <br /> <br />NE <br /> <br />Stato <br /> <br />Zip Codo <br /> <br />NE <br /> <br />68801 <br /> <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien: which has been duly <br />med by the Nebraska Department of Revenue against the above named taxpayer, is tetminated, partially released, or subordi. <br />nated to the extent indicated below. <br />I TYPE OF ACTION <br />1;1 TERMINATION'OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />o PARTIAL RELEASE. The State Tax Lien is partially released as follows. <br /> <br />Name of party ma't1ng rOQuest and responsible for filing certificate of partial release with appropriate filing officer. <br /> <br />o SUBORDINATION. The State Tax Lien is subordinated as follows. <br /> <br />Nime of party making request l:nd responsible for tHIng certificate of SUbordination with appropriate filing officer. <br /> <br /> <br />I hereby corllfy that the Nebraska Oepartment of Revenue has complied with the revenuo laws of the State of Nebraska In the <br />determination of the termina~on, partial release or subordination Indicated above. <br /> <br />.~ji.!.- - ~- <br />~-::':_-~_:.._-::-:- <br />?Slln <br />i~h..".~~. <br />:: I.g <br />1;.,,, <br />'" <br /> <br />Revenue Agent <br />Tille <br /> <br />Special Agent <br />Tille <br /> <br />FOR COUNTY OFFICIAL: S USE <br /> <br />:-tlo" <br />~;i.- <br />,,51 <br /> <br />ru <br /> <br /> <br />-~-~_..,. <br /> <br />,'! .,1 ~-28-88 <br />Date' <br /> <br />1-28-88 <br />Date - '. <br /> <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Goldenrod Copy <br /> <br />4-232-68 Rev. 5.86 <br />Supersedes 4-232.68 Rev. 1-81 <br /> <br />..~ 'JiE8flASKA DEPARTMENT OF REVENUE - White and Canary Copies <br />-.....--; <br /> <br />......:.~:.,""._-~- <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br /> <br />J <br /> <br /> <br />:, <br /> <br />r--- <br />i <br />! <br /> <br />---1 <br /> <br /> <br />:/ <br />h. <br /> <br />~J <br />