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<br />1~~Jl' <br /> <br />LI.n Serial NumDI, <br /> <br />State Tax Lien <br />Statement of Termination or <br />Certificate of Partial Release or Subordination <br /> <br />Nlbrulc, 1.0. Numbl, County <br /> <br /> <br />SOCIAl Security Numbe, or <br />Pluu..l 1.0. Numblr <br /> <br />LI.n Fllld WUh SPOUII', Snclll SlcurUy <br />Rogllla, of O..ds Number <br />County Clulc <br /> <br />88-106932 <br /> <br />BUIlnlluName <br /> <br />TAXPAYER NAME AND MAl LIND ADDRE88 <br /> <br />Nama <br /> <br />elly <br /> <br />State <br /> <br />Zip Code City <br /> <br />C .truction Enter rises of C.I. Inc. <br />Streit Of Other Mailing Addrl.s <br /> <br />.ar Cliff ROAd <br />Stat. <br /> <br />ZIp Cods <br /> <br />Slr..t Addrtlll <br /> <br />Fr ant NE 68025 <br /> <br />Pwsuanl 10 lbe revenue law. or Ibe Slale of Nebraska, nolice i. bereby given Iballbe Slate Tax Lien wbich Jw been duly <br />llIed by lbe Nebraska Departmenl or Revenue against tbe above named taxpayer, is lenninated, partlalIy released. or subordi- <br />nated 10 tbe extenllndlcated below. <br />I TYPE OF ACTION <br />Iii TERMINATION OF TAX LIEN. The Slate Tax Lien i, hereby fully terminated, <br /> <br />o PARTIAL RELEASE. The State Tax Lien is partially released as follows. <br /> <br />Name 01 party making request and responSible for fll1ng carUth::",!e of partial release with appropriate filing officer. <br /> <br />o SUBORDINATION. The State Tax Lien is subordinated as follows. <br /> <br />Name of party making request and responsible for filing certificate 01 subordination with appropriate filing officer. <br /> <br />~~. I hereb~c'r1.lfY that~ttre Nebrask...'OePlrtment of Revenue hIS compllej with the revenue law", of the State 01 Nebraska In the <br />.~~ i'd~~er;;ln~IO_?:O~~he terml~~on. PBrtll!' release or subordlnatlon Indluted above. <br /> <br /> <br /> <br /> <br />f.~n~:f <br />\; ~~--" <br />:", . AU~ho.m:ed~lgnature :';::-. <br /> <br />R""''''''''"11''''' Agpnt' <br />Title <br />J()...- - ~ <br />Title <br /> <br />, ~~S~ <br />Y ->=-,._.:.... 1:Z/M r.r- <br />" Oate ;.' <br /> <br />:b. (J1 <br /> <br />FOR COUNTY OFfiCIAL: S USE <br /> <br />" <br /> <br />,r~. <br /> <br />.~~-<"~~EQRASKA DEPARTMENT OF REVENUE - White and Canary Goples <br />,:;l,~:.-.~ <br /> <br />TAXPAYER - Pink CoPv <br /> <br />COUNTY OFFICE - Goldenrod Copv <br />4.232.68 Rlv. 5-86 <br />Supersedes 4-232,68 Rev. 1.81 <br />