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<br />03/19/2008 WED 15:23 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~005/010 <br /> <br />(JJ <br /> <br />HI Sn ot State John II Gel" . uc;C T,g <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />) 8)) WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200802316 <br /> <br /> <br />9908552395-5 PSI: 1 <br />KEESHAN JAl'lES K <br />Filed: 03/19/2008 10:35 A" <br /> <br /> <br />~ <br />fII...b'.~k.. O_"m<tln '01 <br /> <br />REVENJUE <br /> <br />."",wW~.'."'."'Ui..........~ <br /> <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br /> <br /> . PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the reven,ue 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 />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 8891281 XXX-XX-1420 <br />Lien Serial Number Lien filed with _ Date of-Lien Tax CC!tegory County -' ..."..: <br /> - 03/08/0003 ~Reglster of Deeds Dcounty Clerk 01/04/2008 01 Hall .- <br />I BUSINESS NAME AND LOCATION ADDRESS '" TAXPAYER NAME AND MAILING ADDRESS .._ ';:",O='u <br /> . ,~.~.. <br />-Business Name . Name .- ". --- <br /> James K Keeshan . .--1.'.~"" . <br />Street Address . Street or Mailing Address ,.. <br /> 410 W Third Street ".". <br />City State Zip Code . City . State Zip Code <br /> Grand Island NE 68801 <br />I Type of Action I <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully tenninated, UCC Instrument Number ( 9908542743-2 j <br /> <br />County Instrument Number <br /> <br />200800290 <br /> <br />TAX YEARS (corporate, Individual income, and withholding tax only) , <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County InstrumentNumber <br /> <br />_ :...:......n.~ <br /> <br />..~:~~. :... <br /> <br />sign <br />here <br /> <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied witli the revenue laws of the Stale of Nebraska in <br />detennination of the rmination, partial release, or subordination indiCC!ted above. <br /> <br />Revenue Senior Agen~ <br />Title <br /> <br />Revenue Supervisor <br />Title <br /> <br />03/06/2008 <br />Date <br /> <br />308-385-6073 <br />Telephone Number <br /> <br />~1/'3lnj <br />o Ie <br />4~32-68 Rev. 8-96 Supersedes 4.232-69 Rev. 10-95 <br /> <br />(f <br />