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i I State Tax Lien Statement of Termination or Cwrtifit -ato of DArtiml RalA"s— — `a,�Af rtiliefiiww Lien Serial Number Document Serial Date of Lion Social Security Number or - 85045039 Number 007 - 10071 4 -18 -86 Federal i•D•2326 Number :V! 87 a.raa 101421 - - Nebraska I.D. Number County Lien Filed With spouse's Social security - ® Register of Deeds Number - - p �s 11859415 t�'t Hall l County Clerk BUSINESS NAME AND LOCATION ADDRESS- - TAXPAYER NAME AND MAILING ADDRESS Business Name - Name Steven J. & Nancy M. Milbourn Street Adores Street or Other Mailing Address - P.O. Box 1051 City - State - Zip Code City State- - - Zip Code Grand Island, NE 68801 Pursuant to the revenue laws of the State of Nebratilta, notice is hereby gilim that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the above named taxpayer, is terminated, partially released, or sabot& noted to the extent iandicated below. TYPE OF ACTHM - - - - - - TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully, terminated. t`-'. PARTIAL RELEASE. The State Tax Lien is partially released as follows niame of party making request and eso. —b a for filing £ettitwune of partial release erdh app prune filing Officer_ SiDINATION. The State Tax Lien is subordinated as follows. Name of pally making request and responsible for filing certificate of subommatnon with approPriate filing Offncv. I_ baby Certify that Me NebraSka Department of Rayenue 1 £dm00 " "tb the rMnpe Iayy of the State Of Napra,ka In the detenabfa[tgn Of the tormination, partial renease or subordination indicated l Revenue Agmt ti.c`v Tike - t)ata Sptcial Agent f p 5 r Title Daft FOR COUNTY OFFICIAL S USE fRlittA3tLA DEPARTMENT OF REVENUE – White and Canary Copies TAXPAYER –Pink Copy COUNTY OFFICE – Goldenrod Copy •"""` - - 4- 232.238 Rey. S -ft Supersedes 4.232 -68 key. 1-81 im L