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<br />02/20/2008 WED 15:45 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />t~ <br /> <br />200801379 <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br /> <br /> <br />.~~ <br />Nebraska Department ot <br /> <br />REVENUE <br />WWW.JeveAue.ne -. oov <br /> <br />Notice of state Tax Lien <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br /> <br />soc. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />LIEN RELEASE NO. <br />COUNTY <br />DATE OF NOTICE <br />INSTRUMENT NO. uee <br />INSTRUMENT NO. CTY <br /> <br />XXXXX4464 <br />30511348 <br /> <br />2004 <br />052450335 <br />080310007 <br />HALL <br /> <br />ROSE L FUSS <br />717 W 14TH ST <br />GRAND ISLAND NE <br /> <br />68801 <br /> <br />c}';t;/~ (1.rJJ~SJ: PO & x fo I <br />) C-a iro )(6 f>ftf2.H <br />, <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br /> <br /> <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THIS ERMINATION. <br /> <br /> <br />PR ~:1~ <br /> <br />t:.~...... <br />TiTLE"'~~ <br /> <br />. 4t?~t. . . . . . . . <br />DATE <br /> <br />. !/I1>1...... <br />DATE <br /> <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br /> <br />.~ <br />