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<br />k=,... <br />",-trMnt <br />..- <br />Lion Slfl..! Number <br /> <br />State Tax Lien <br />Statement of Termination or <br />Certificate of Partial Release or Subordination <br /> <br />88-10495<1 <br /> <br />11-4-83 <br /> <br />Socii' Securltv Number or <br />Fld'flll 1.0. Numblf <br />505-70-7989 <br /> <br />3 11 230 <br /> <br />Document S.rl.l' <br />Number <br />11777 <br /> <br />01"af LIen <br /> <br />Nlb,.I,kl 1.0. Number <br /> <br />Lien Flied Wltn Spouse'. Social Security <br />\;J Roglst.r of OOlill:!' Numblf <br />H 11 KJ County Clark <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br />County <br /> <br />3 47 8 <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Buslne" NAme <br /> <br /> <br />G <br /> <br />5troetAd!2rlln <br /> <br />City <br /> <br />Stlte <br /> <br />51R G Street <br />Zip Coda City <br /> <br />state <br /> <br />Zip Code <br /> <br />C Citv. NE 68826 <br /> <br />Pwsuant to lhe revenue laws of the Slale of Nebraska, notice is hereby given that lhe Slate Tax Lien which bas been duly <br />Iiled by the Nebraska Department or Revenue agalnsllhe above named taxpayer, is terminated, partially released, or subordi. <br />nated to the extent indicated below. <br />I TYPE OF ACTION <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />o PARTIAL RELEASE. The Stute Tax Lien is partially released as follows. <br /> <br />Nama of party making request ;lmi U'5porlllble lor 1111n9 certl1lCilltB 01 partlal ,clease with appropriate filing officer. <br /> <br />o SUBORDINATION. The Slate Tax Lien is subordinated as follows. <br /> <br />Name of party mllklfli request and responsible lor filing certificate of 5ubordlnation with appropriate flllng officer. <br /> <br />I nOnlby (;arUfy that tne Nebraska Department 01 Re\lllnue has complied with the revenue laws of the State of NabrOl:kll In the <br />dotarmlnltlon of the termination, partial rl!!leasa or subordination Indicated .above. <br /> <br />';~ign <br />~here <br />" <br />~ ::::~ <br /> <br /> <br />Revenue Senior Aaent <br />Title <br />Revenue Aaent SUDervi~Dr <br />Title <br /> <br />9-9-88' <br />':Olto" _.- <br />.j, 9':9~88 <br /> <br />D.lte' <br /> <br />FOR COUNTY OFFICIAL: S USE <br /> <br />.i' <br />~~ <br />f. <br />i <br /> <br />~- <i-'.. <br /> <br />~rr <br /> <br />c- ~ \~ :.' <br /> <br />~ <br />"'t~ <br /> <br />+"' -: <br />OJ .~ ,A:<";, <br />n.> -:-1 '1 .:.t "';' <br /> <br />~ i ~ <br /> <br />,. <br />" <br />< <br /> <br />-' .1 <br /> <br />NEB~~tc.~.DEe~ATMENl"-OF- REVENUE -_White and CaniK.v Copies TAXPAYER - Pink CoPV CQI.tNTV OFFICE - Goldenrod Copy <br /> <br />.dE A~ED NOTICE OF STATE TAX LIEN TERMINATION SHOULD BE FILED NITH BOTH THE REGISTER <br />OF D7~ AND THE COUNTY CLERK. THIS IS TD TERMINATE nlE LIEN(S) FILED PRIOR TO JULY 17, 1986 <br />WITH BOTH OFFICES. <br /> <br />THE REGISTER OF DEEDS IS REQUESTED TO FORWARD THE DOCUHENTS TO THE COUlITY CLERK. <br /> <br />DISTRIBUTION OF COPIES: <br />WHITE: 'IO BE VALIDATED BY BOTH THE REGISTER OF DEEDS AND TIlE COUNTY CLERK <br />AND RETURNED TO THE NEBRASKA DEPARTHENT OF llEVENUE. <br />CANARY: TO BE KEPT BY TIlE REGISTER OF DEEDS'. <br /> <br />GOLDElIROD: <br /> <br />TO BE KEPT BY TilE COUNTY CLERIC <br /> <br />i <br /> <br />nlERE IS NO FEE TO BE CIIARGED FOR A TERMIIIATIOII NOTICE. <br />TllJ\NK YOU FOR YOUR COOPERATION. <br /> <br />j __ .....'. .___~_.._""'_J_____.____ -.__... <br /> <br />...~--i.... <br />