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<br />01/28/2008 MON 14:09 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />)~ <br /> <br />NIi: S.c .1 St.t. Jalln A '.1. - UCC TUg <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 />200800661 <br /> <br /> <br />9908545328-5 Pgs: 1 <br />GARRISON TIMOTHY <br />Filed: 01/28/2008 12:39 PM <br /> <br /> <br />~ <br />IN'.b-''...... nc,..o._rt 0# <br />REVEN;UE <br /> <br />www....."'...................,., <br /> <br />State Tax Lien Statement of Termination Or' <br />Certificate of P.arti'al Release or <br />Subordination <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 taxpayer, Is <br />tennlnated, partially released, or subordlnited to the extent Indicated <br />. below. . <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 7369726 XXX_XX_2027 <br />Lien Serial Numl;ler Lien filed with Date of Lien Tax Category County <br /> .02105/320 '(!JRegistet of Deeds DCounty Clerk 05/03/2002 21 Hall, <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> TIMOTHY GARRISON <br />Street Add~ss Street or Mailing Address <br /> 4339 W STOLLEY PARK RD' <br />City State .Zip Code City . State Zip Code '-'l <br /> GRA~O ISLAND NE 68601 <br />I Type of Action .- ';:'1 <br />IXI TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. " C 9902213626-4) <br />ucc Instrument Number .. <br /> <br />Cou,nty Instrument Number <br /> <br />200204654 <br /> <br />TAX YEARS (corporate, IndIvIdual Income, and withholding tax only) 2001 <br />o PARTIAL RELEASE. . The State Tax Lien is partially released as follows: . UCC Instrument Number <br />County Instrument Number <br /> <br />o SUBORDINATION. <br /> <br />,TAX YEARS (corporate, indlvlduallncom., and withholding tax only) . <br /> <br />The State Tax Lien is subordinated as follows, <br /> <br />uce Instr.ument Number <br />County Instrument Number <br /> <br />I hereby certify that the l'Iebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination, p rtial release, or subordination indicated a~ove. <br /> <br />sign <br />here <br /> <br /> <br />Revenue Senior Agel <br />TItle <br />Revenue SupelVisor <br />Title <br /> <br />01/25/2008 CsbY)..385--6073 <br />Date Telephone Number .::1'". <br />01/25/2008 <br />Date .. <br />........................ ........ ~ <br />