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<br />10/26/2007 FRI 15:08 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/002 <br /> <br />\)co <br /> <br />,..Ii s... of 'Si.l. J...... A a.l. - UCC TIS <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 />200709202 <br /> <br /> <br />9907531279-2 PliIS: 1 <br />LR INEZ I'lRRGRRET <br />Fil.d: 11/26/2007 12:04 PM <br /> <br />IIr <br /> <br /> <br />,State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />ftobraka . <br />GOpldlMnl <br />oI~ <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> , , , <br />PurSuant to the revenue' lawsofthe'State olNebraska, notice is hereby <br />- given thanhe State Tax Lien which has'been duly filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />tenninated, partially released, orsubordi,nated to the,extent indicated <br />below. <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 9519343 505-78-7944 <br /> , <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br /> " 03/06/00'-9 : l!J'RegisteT ofDltedsDCouiity Clerk "- <br />~, .. - '-(}7111/2006 ; '01 ".:Hall: <br /> ... ., .- <br />I.. BUSINESS NAME AND LOCATION ADDRESS _' TAXPAY!=R NAM,E ANI;> MAILltIIG A[)DRES,~ ., ~ <br />,Business Name .. Name <br /> , Margaret Laine-z - , , ..... -..~. .. <br />.".- , - <br />Street Address Street or Mailing Address ' -- <br /> 419 Roush Lane , <br />City State Zip Code City State Zip COde <br /> Grand Island NE 68801 - <br />I Type of Action I <br /> . <br /> <br />UCC Instrument Number C 9906461227-6) <br />County Instr.ument Number 200606254 <br /> <br />[!J TERMINATION OF TAX LIEN. The State Tax Lien Is here~fullyterminated. <br /> <br />TAX YEARS (corporate, Individual Income, and wtthholdlng tax only) <br /> <br />o PARTIAL RELEASE. <br /> <br />The Slate 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 />D 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 Depal1ment of Revenue has complied with the revenue laws of the Stale of Nebraska in <br />determination of e termination. pal1lal release., or subordination indicated above. <br /> <br /> <br />Revenue Senior Agent <br />Title <br />, Revenue Supervisor <br />Title <br /> <br />I~Jd{ t/ /~OO/ .308 385-6073 <br />Date. Telephone Number <br /> <br />~f!7 <br /> <br />4-232-68 Rev. 8-96 SupeRlJdea 4- ' -69 Rev. 10-95 <br /> <br />cP <br />