Laserfiche WebLink
<br />06/22/2007 FRI 15:23 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />o~ <br /> <br />HE s.." "f 5t..t" .J"hn Fl 0.1 e - uee TllI!iI <br /> <br />200705296 <br /> <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 />9907514669-8 Pes: 1 <br />ftOTLEY ALVIN G <br />Filed: 06/22/2007 11:06 RM <br /> <br />IIr <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />I'lObra;l!. <br />dO\WIl'lrnltM <br />ofl'O\'tflll!O <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuan~ to the revenue law.s of the State of Nebraska, notice is hereby <br />gjven 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 /> 5429609 505 54 2992 <br />Lien Serial Number lien filed with Date of Uen Tax Category County <br /> 03/07/0003 o Register of Deeds D County Cler1< 12/25/2006 01 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Alvin G Motley <br />Street Address Street or Maili,ng Address <br /> 2431 N Custer <br />City State Zip Code City State Zip Code <br /> Grand Island ' NE 68803 <br />I Type of Action I <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number ~7490794-4~ <br /> County Instrument Number 200700460- <br /> <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien i~'partiallyreleased as follows: <br /> <br />uce Instrument Number - <br />County Instrument Number <br /> <br />o SUBORDINATION. <br /> <br />TAX YEARS (corporate. individual income, and withholding tax only) <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws ot the State of Nebraska in <br />deter "nation of the erminatlon, partial release, or subordination indicated above. <br /> <br />sign ... <br />here <br /> <br /> <br />Revenue Senior Agent <br />Title <br /> <br />Revenue Supervisor <br />Title <br /> <br />~ 1/ C; I ~(}() 7 308 385-6073 <br />Date ( Telephone Number <br />t(9/07 <br /> <br />4-232.08 Rev" 8-96 Supersedes 4-232.09 Rev, 10-95 <br /> <br />\I <br />