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200801651
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Last modified
2/29/2008 11:11:43 AM
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2/29/2008 11:11:42 AM
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200801651
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<br />02/28/2008 THU 15:24 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210021002 <br /> <br />~ <br /> <br />200801651 <br /> <br />I~ '11111 fllrr 11 " <br /> <br />9908549949-5 Pgs. 1 <br />ACOSTA ULr5ES . <br />Filed: 02/29/2009 02:55 PM <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 />Mebra1ii1Uil Department at <br /> <br />REVENUE <br /> <br />wW'W . revenue. no. gov <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 2004 <br />LIEN NO. 062510103 <br />LIEN RELEASE NO. 080511277 <br />COUNTY HALL <br /> <br />~~~~~~T~g~ ucc ~fft~~Yj:Jl J) <br />INSTRUMENT NO. CTY ... <br /> <br />XXXXX1111 <br />39619923 <br /> <br />ULISES ACOSTA <br />407 KENNEDY DR <br />GRAND ISLAND NE 68803 <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 />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 TERMINATION. <br /> <br /> <br />.~;~~ ~~........ <br /> <br />AUTHORi~ATURE TiTLE....~ <br /> <br />. .:iJ..6!?J/. ~ . . . . . . <br />DATE <br /> <br />-7~~ <br />. .:lY:t. . . . . . . <br />D1\TE <br /> <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br /> <br />fJI <br />
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