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200707046
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Last modified
8/16/2007 4:44:50 PM
Creation date
8/16/2007 4:44:00 PM
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DEEDS
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200707046
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<br />08/16/2007 THU 15:53 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/003 <br /> <br />fb <br />o <br /> <br />Please return 10: <br />STA TE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />) 811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br /> <br />9907521660-9 PSI e 1 <br />A & N, INC. <br />Filed: 0811612007 11:47 AK <br /> <br />200707046 <br /> <br />'" <br /> <br /> <br />'State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination' <br /> <br />n~INlcll <br />dGp.lrttnOfll <br />o(~UCl <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 Uen 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 />.. 74Q2'171" 47-0791041 , <br /> , . <br />Lien Serial Number . L.ien filed with Dale of Lien Tax Calegory Counly <br /> 03/06/0047 tJ Register of Deeds D County Clerk 11/13/2006 Hall <br /> . <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> A & Nt Inc. <br />Street Address Street or Mailing Address <br /> 228 Cherokee Ave <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 Slate fax Lien is hereby fully terminated. UCC Instrument Number ( 9906480236-8 ") <br /> County Instrument Number 200610243 <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />2004/2005 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien is partially released as follows: <br /> <br />UCC Instrument Number <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 />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of th termination, partial release, or subordination indicated above. <br /> <br />sign ... <br />here <br />... <br /> <br /> <br />Revenue Senior Agent <br />Tille <br />Revenue Supervisor <br />Title <br /> <br />08/15/2007 <br />Date <br /> <br />308 385-6073 <br />Telephone Number <br /> <br />08/15/2007 <br />Date <br />4-232.08 Rev. 8-96 Supersedes 4~232.09 Rev. 10"95 <br /> <br />~ <br />
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