Laserfiche WebLink
<br />05/03/2007 THU 10:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~003/005 <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200703601 <br /> <br />I~rlll!ln il <br /> <br />9907507950-6 PlJS' 3 <br />HORNBACHER THOMAS L <br />Filed: 05/08/2007 10:31 AM <br /> <br />{)q, <br /> <br />If" <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />tlOllrWla <br />fopartmOlll <br />of r4\'OllllO <br /> <br />,.. <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 sUbord,inated to the extent indicated <br />below. <br /> .. <br />Nebraska Identification Number Federal Identification Number &ocial Security Number Spouse's Social Security Number <br /> 15289125 508-56-0521 <br />Lien Serial Number Lien filed wilh Date of Lien u Tax Category County .., ... <br /> 90159223 [!I Register of Deeds D County Cieri< 07/31/1990 22 . Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />BJJS"ness Name Name <br />,- Thomas L. Hombacher <br />Street Address Street or Mailing Address <br /> 1124 West Koenig , <br /> .. <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br />r Type of Action I <br /> <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />~ <br /> <br />TAX YEARS (corporate, Indtvlduallncome, and withholding tax only) <br /> <br />UCC Instrument Number <br />County Instrument NumberaS> 90-104530 <br />1983, 1984 . <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien is partially released as follows: <br /> <br />UCC Instrument N,umber <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number' <br />County Instrument Number <br /> <br />", <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the Stale of Nebraska in <br />determination of the termination, pial release, or subordination indicated above. .. <br /> <br />{#;- <br /> <br />REVENUE SUPERViSe <br />Title <br /> <br />308 385--6067 <br />Telephone Number <br />~//o7 <br />e / <br />4-232.08 Rev, ll-96 Supersedes 4-232.09 Rev, 10-95 <br /> <br /> <br />REVENUE SUPERVISOR <br />Title <br />