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8tats Tax Lion <br />.'. t Statsmsnt of ; Tsrinination or <br />Cartifieata of Partial Release er Subordination <br />Lion Serial Number <br />Document Serial <br />Data of Lion <br />Sgplal Security Number or <br />51011064 <br />Number <br />10805 <br />1 -3 -85 <br />Federal 1,D, Number <br />87�w 106108 <br />Nepraska 6D. Number <br />County <br />Lien Filed With <br />Ragtster of Do 95 <br />Spouse's So�clal Security <br />Nurnper <br />3869601 <br />Mal 1 <br />County Clark <br />RMINE88 <br />NAME AND LOCATION <br />ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />8lufiness Name <br />.. .. _ <br />Name <br />Industries, Inc. <br />-_" IndUtrigg, Inc <br />Street Address <br />Street or Other Mailing Address - <br />Ari one <br />4196 AriZona <br />City State <br />ZIP Code <br />City State "Lip Code <br />Grand Island, NE <br />68801 <br />1 Grand Island NE 68801 <br />Pursuant to the revenue laws (if the State of Nebraska, notice is hereby given that the State Ta,. [,ien which has been duly <br />filed by the Nebraska Department of Revenue against the above named taxpayer, is terminated, partially rekssed, or subordi• <br />nated to the extent indicated below. <br />TYPE OF ACTION <br />1� TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />❑ PARTIAL RELEASE. The State Tax Licit is partially released as follows. <br />Name of party making request and responsible for filing certificate of partial release with appropriate filing officer. <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />Name of party making request and responsible for filing certificate of subordination with appropriate filing officer. <br />i- hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the <br />determination of the torminatlo artfal release or subordination Indicated above. <br />�i <br />Revenue Agent 10 -16 -87 <br />has p s are Title Date <br />Special Agent 10 -16 -87 <br />• uthorized Sig are Title Date <br />FOR COUNTY OFFICIAL' S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy COUNTY OFFICE - Goldenrod Copy <br />4.232.68 Rev. 5.86 <br />Supersedes 4232.68 Rev. 1.81 <br />U <br />I <br />