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I i State Tax Lien kn;;--vt Statement of Termination or a tflw.itrI nwtrwrw Lien Serial Number Document Serial Oat. of Lien Social SoCurfty Number of 6/03/169 Numbs 10073 3 -14-86 Federal 1.0. Numbs 507= 54-4811 87— - 101472 - Nebraska I.O. Nurrrixr County Lie" Filed With Spouse's social Security �. Register Of DNdi Number - 2107031 Hall ® County Clerk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS - Buil.w, Name - Name Janice L. Alexander Janice L. Alexander Street A d-lis - Street or Other Marling Address - W. 15th 13004 M 15th city State - zip Code city- - state - zip Cade Grand Island. NE 68801 Grand Island, NE 68801 Plnsaw to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lim which has been dui Sod by the Nebraska Department of Revenue agahtst the above named UxMer, is terminated, partially released, or sulion& nawd to the extent indicated below. TYPE OF ACTION - - - - TERMINATION Of TAX LIEN. The State Tax Lien is hereby fully terminated_ C PARTIAL RELEASE. The State Tax Lien is partially released as follows. Name of party making reouest and responsible for filing certificate of partial release with appropriate fitfng offkWer. - L SUBORDINATION_ The State Tax Lien is subordinated as follows. Name Of party making repuest and responsible for filing certificate of subordination wirh appropriate fh6fg o"k—_ '- hfnoY'certtfy that the - Nebraska Department of Revenue has tornolf a .site the re..toe laws of the State of Nebraska In the _ _ . ;_d lMatiwY Of [fro tettntnatlon, al raiea" sub- dnation indkated Revenue Argent Titer - - Date " Special Age:tt_!�' -''7 nutnonaed - - TWO fiat. - - ..: -- - FOR COUNTY OFFICIAL' S USE - - NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Golde�,,od Copy - 4- 232-66 Rev. "t Supersedes 3- 2'32 -68 R-, 1-81 7=1 A NOTICZ OF STATE TAX LIEN TE IATION SHOULD BE FILED WITH BOTH THE REGISTER or DEEDS AND TSB COUNTY CLERK- THIS IS TO TERMINATE THE LIEN(S) FILED PRIOR TO JULY 17, 1986 WITH BOTH OFPICES. THE REGISTER OF DEEDS IS REQUESTED TO FORWARD THE DOCUMENTS TO THE COUNTY CLERK. DISTR13Mam OF COPIES: WHITE: TO BE VALIDATED BY BOTH THE REGISTER OF DEEDS AND THE COUNTY CLERK AND RETURNED TO THE NEBRASKA DEPARTMENT OF REVENUE. CANARY: TO BE KEPT BY THE REGISTER OF DEEDS. GOLDENRODt TO BE KEPT BY THE COUNTY CLERK. THERE I$ NO FEE TO BE CHARGED FOR A TERMINATION NOTICE. T THANK YOU FOR YOUR COOPERATION.