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<br />11/14/2007 WED 15:02 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/004 <br /> <br />d <br /> <br />200709722 <br /> <br /> <br />9907533569-9 Pas: 1 <br />GANDARR ARTURO <br />Filed: 11/14/2007 10:22 AM <br /> <br />Please forward to: <br />Nebraska: Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />IIr <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of .Partial Release or <br />Subordination <br /> <br />noI!lUICa <br />dOpalfl'Mll\l <br />of fO\'GI1UD <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <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 taxpayer, Is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br /> <br />22 <br /> <br />Social Security Number <br />450-13-6305 . <br /> <br />Date of Uen . <br />06/12/2007 . <br /> <br />spouse's Social Security Number <br /> <br />Nebraska Identification Number <br />4~595304 <br /> <br />Tax Category <br /> <br />Lien Serial Number Lien filed with <br />07075001 ~ ~ Register of Deeds D County Clerk <br />BusiNESS NAME AND LOCATION ADDRESS <br />. Business Name <br /> <br />, County <br /> <br />Hall <br /> <br />. TAXPAYER NAME AND MAILING ADDRESS, <br /> <br />Name <br />Arturo Gandara <br />Street or Mailing Address <br />2323 Sellwood Dr Trlr 92 <br />CIty State. <br />Grand Island NE <br />Type of Action <br /> <br />[g] TERMINATION OF TAX LIEN. The State Tax LIen Is hereby fully terminated. <br /> <br />.Street Addrass . <br /> <br />City <br /> <br />Stale <br /> <br />Zip Code <br /> <br />Zip Code <br />68801 <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />2004- <br /> <br />o PARTIAL RELEASE_ <br /> <br />Thli State r ax Uenis partially released as follows: <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Individual Income, and withholdlng.tax only) <br /> <br />D SUBORDINATION.. <br /> <br />Tha State Tax Uen is subordinated as follows, <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />y certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />tion of the term' ation, partial release, or subordinallon indicated above. <br />.-- . <br /> <br />sign .... <br />here <br />.. <br /> <br /> <br />Revenue Agent <br />litle <br /> <br />Revenue SupelVisor <br />Title <br /> <br />11/0812007 308 632-1200 <br />Date Telephone Number <br />11/08/2007 <br />Date <br />04.232.m1 Rev. 8-96 Supersedes 4-232-68 Rev. 10-95 <br /> <br />~. <br />