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04/03/2007 15:04 FAX 14024714429 NEBRASKA Dee IaI 002 \f 200702660 . Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE 69101 Ir State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination "*"'- ..,... 1lI.~ ---- Pursuant to the revenue laws of the State of Nebraska. notice is hereby PL~ED' 1111/IIIIIII given that the State Tax Uen which has been duly filed by the Nebraska Department of Revenue against the below.named taxpayer, Is terminated, partlal~y released, or subordinated to the extent indicated CVEVAS-GARCIA ELMER Pg$" 1 below. , ~~~ 04/03/2007 02;36 PM , ---~._,._- -- ---.. ----.-.~ ---~~ - Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number 9933.6308 508-43-9174 Lien Serial Number Lien filed with Date of Lien Tax Cate;OIY County 41910132 . [g] Register of Deeds. Q.County Clerk 03/09/2006 ' 22 HALL r ' - BUSINESS NAME AND LOCATION ADDRESS ' TAXPAYER.NAM'E,AND MAILING ADDRESS. --- . Business Name Name ELMER CUEVAS-GARCIA Street Address Street or Mailing Address 803 S VINE Sr APT L City State Zip Code City State Zip Code .GRAND ISLAND NE 68801 I . Type of Action I 1KI TERMINATION OF TAX LIEN. The State Tax: Lien is hereby fully terminated. ~~---=!._w:...~~~ ' UCC Instrument Number CountY Instrument Number t9'906442854 f) 200602305 TAX YEARS (corporate, Individual Income, and withholding tall only) 2001 D PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number County Instrument Number TAX YEARS (corporate, individual income, and withholding tax only) D SUBORDINATION. The State Tax: Lien is subordinated as follows. UCC Instrument Number County Instrument Number sign ~ here II- I hereby certify that "the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in det rmination of the termiMtlon, partial release, or subordination indicated abOVe. . {.- ' Revenue Agent '3-;;;R-07 P rer's i na re Title Date Revenue Supervisor Title 308 535-8294 Telephone Number -'~7 Date 4-232-68 Rell. 8-95 Sup.rndas 4-232-69 Rell, 10.95 \. '.1'-"