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<br />10/19/2007 FRI 15:39 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />OCb <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />2'00709009 <br /> <br /> <br />'r <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or. <br />Subordination <br /> <br />nObij$~ <br />dOpaI\tllOnl <br />Of HV4nUI <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 taxpayerj is <br />terminated, partially released, or subordinated to the extent indicated <br />below.. <br />Nebraska Identification Number Tax Category Social Security Number Spouse's Social Security Number <br /> 40397491 22 329-48-9699 0-0 <br />Lien Serial Number Lien filed with Date of Lien County <br /> 051610018 IZl Register of Deeds 0 County Clerk ' 07/07/2006 Hall <br />r BUSINESS NAME AND' LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> , David E Lengfelder <br />Street Address Street or Mailing Address <br /> 1109 W 9th Street <br />City State Zip Code City State Zip Code <br /> Grand Island NE , 68801 <br />r Type of Action I <br />[Z] TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UC,C Instrument Number (99064603897) <br /> <br />County Instrument Number 200606102 <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) 2002 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien Is partially released as follows: <br /> <br />UCC Instrumen~ 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 />by certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In <br />allon of he ter ifllltion, partial release, or subor:dination indicated above. <br /> <br />sign ... <br />here <br />... <br /> <br /> <br />'> <br />~ <br /> <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br /> <br />10/17/2007 308 632-1200 <br />Date Telephone Number <br /> <br />10/17/2007 <br />Date <br />4.232-68 Rev, 8.96 Supersedes 4-232-69 Rev. 10.95 <br /> <br />a\\J <br />