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<br />07/11/2007 WED 15:14 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/002 <br /> <br />og <br /> <br />Please forward_to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />-200705870 <br /> <br /> <br />9907516926-6 Pgs: 1 <br />ALVAREZ MICHAEL A. <br />Filed: 07/11/2007 02:11 PM <br /> <br />.ar <br />llObl'a$b <br />~.nt. <br />'otlWOiM <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws oftheState of Nebraska, notice is hereby <br />- given that the State Tax Lien which has been duly-flied 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 Tax CategolY Social. Security, Number Spouse's Social Security Number <br /> 992728-14 22 466-69-8656 <br />Lien Serial Number Lien filed with - Date of Lien County <br /> 052240228 [2S] Register of Deeds 0 C~unty Clerk 05/03/2006 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> : Michael A Alvarez <br />Street Address Street or Mailing Address <br /> ,328 Pine Street <br />City State Zip Code' City State Zip Code <br /> Grand Island NE 68801 <br />I Type of Action 1 <br /> <br />~ TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully lerminaled. UCC Instrument Number <br /> <br />County Instrument Number <br />TAX YEARS (corporate, individual income,and withhol4ing tax only) 2002,2003 <br /> <br />99064520207 <br />200604144 <br /> <br />D PARTIAL RELEASE. <br /> <br />The ,State Tax L,ien is partiall}t released as follows: <br /> <br />UCClnstrument Number <br />_ County Instrument Number <br /> <br />TAX YEARS (corporate,-individual income, and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The Slate Tax Lien Is subordinated as follows. <br /> <br />-UCC Instrument Number <br />County Instrument Number <br /> <br />sign ..._ <br />,here - <br />.- <br /> <br /> <br />I her y certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determ alion of the termina .o~. partial release, or subordination indicated above. r J. I <br />. -t1'1 10 1- <br /> <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br /> <br />Date <br /> <br />308 632-1200 <br /> <br />T~~~ <br />Z . <br /> <br />....., ....... "..m.....",.. "'. ,... . ~ <br />