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<br />01/28/2008 MON 14:09 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~003/003 <br /> <br />f)~ <br /> <br />HE SBC of Sh\B John A liB Ie - uee T0!I <br /> <br /> <br />9908545329-7 Pas: 1 <br />HALLER ALBERT J <br />Filed: 0112812008 12:39 PM <br /> <br />200800662 <br /> <br />IIr <br /> <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />n~r~~Io;~ <br />dop.1rlmcnl <br />QI rC\'i!q 1I~ <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />PUrSl,.Iant 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 Nebras~a <br />_ Department of Revenue against the below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identificalion Number Federalldenlification Number Social Security Number Spouse's Social Security Number <br /> 44096372 m-M..,-8620 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br /> 51960166 [g] Register of Deeds 0 County Clerk 10/20/2005 22 HALL <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> ALBERT J HALLER <br />Street Address Street or Mailing Address <br /> PO BOX 1654 <br />City Slate - Zip Code City State Zip Code <br /> GRAND ISLAND NE 68802 <br />I Type of Action I <br /> <br />IKI TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number C 9905418975~ <br />County Instrument Number 20051 0564 <br />TAX YEARS (corporate, individual Income, and withholding tax only) 1998,1999,2000,2001 <br /> <br />D 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 />D SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />sign ~ <br />here <br />~ <br /> <br /> <br />y certify t [the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />tio f th te ination, partial release, or subordination indicated above. I J _ _, ...., <br /> <br />Revenue Agent . ~ ,402471.5835 <br />ar r sIgn re Title Date Telephone Number <br /> <br />Revenue Senior Agent ) ~ z:.Z - 0 8 <br />Title Date <br /> <br />.~ <br />