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<br />04/19/2007 THU 15:39 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall ~003/003 <br />Ni S.." of st... John Il G"l.. - UCC SPR <br /> <br />oct, <br /> <br />200703177 <br /> <br /> <br />9907506004-0 Pss: 1 <br />FUSS ROSE <br />Filed: 04/19/2007 10:37 AM <br />Please Return ungma! \,;opy to me <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />69101 <br /> <br />'r <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />lllllliUf(a <br />"'IMillMftl <br />'" l'tv4ll\lO <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br /> given that the State Tax Lien which has been duly filed by the Nebraska <br /> Department of Revenue against the below.named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br /> below. <br /> Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 30511348 505.98.4464 <br /> Lien Serial Number . ,Lien filed with Date of Lien Tax Category County <br /> 52450335 I!l Register of Deeds D County Clerk . 09/0212005 22 HALL <br />I BUSINESS NAM.E, AND LOCATION ADDRESS TAXPAYER NAME AND MAI,LING ADDRESS <br /> . . <br /> BusiriessName Name <br /> ROSE FUSS <br />Street Address Street or Mailing Address <br /> PO BOX 101 <br /> City State Zip Code City State Zip Code <br /> CAIRO NE 68824 <br />I Type of ,ActIon I <br /> <br />D TERM.INATION OF TAX LIEN. The State Tax Lien is hereby fUlly terminated. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />TAX. YEARS (corporate, individual income, and withholding tax only) <br /> <br />(KJ PARTIAL RELEASE. <br /> <br />The State Tax Uen is partially released as follows: <br /> <br />UCC I..trument Nu.mber (9906457182 j) <br />CountY Instrument Number 200605321 <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax only) 2004 <br /> <br />D SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />LEGAL DESCRIPTION: <br />All of Lot Three (3) and the Northerly 35 feet of Lot Four (4), Block Five (5), Third Addition of Cairo, <br />Hall County, Nebraska. <br /> <br />sign ... <br />here <br />... <br /> <br /> <br />I hereby certify that the Nebraska Department of Revenue has compiled with the'revenue laws of the State of Nebraska in <br />det ination of the termin!tio ,partial release, or subordination indicated above. . I ' ,. <br /> <br />t./-J(,...O'7 '308 535-8294 <br />Date Telephone Number <br />1'...t' --01 <br />Title Date <br />4-232-68 Rev. 8-96 Supersedes 4-232-69 Rev. 10-95 <br /> <br /> <br />Y- <br />