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0 <br />bz= <br />Notice of State Tax Lien <br />Discharge, Release, or Subordination <br />a Read inatitimck ne on reaeaso side <br />LAM S„Ul. Number <br />Roiwsa Serial Numbs' <br />Date of Lien <br />Social Saxwity Number <br />5/03/356 <br />9188 <br />3 -14 -85 <br />507 -42 -4081 <br />96-101602 <br />NabraNU I.D. NurMer <br />County <br />Lien Filed With <br />J] Reailter of Deeds <br />Spouse's 502;&1 Security <br />3581217 <br />Hai 1 <br />eau Clerk <br />1 508-60 -7962 <br />IIU$mn NAME AND LOCATION ADDRESS <br />TAXPAVER NAME AND MAILING ADDRESS <br />seeinew N&rlte <br />N& trro <br />Cow Palace <br />Cow Palace <br />Straet or Other Mailln9 Address <br />Street Address <br />3602 West 2nd <br />3602 Wes 2nd <br />City State <br />Zip Code <br />City State Zip Code <br />brand Island, NE <br />68801 <br />Grand Island NE 68801 <br />Pursuant to the revenue laws of the State of Nebra", notice is hereby given that the Nome of &tare tax LA=1 <br />which has been duly filed against the above named taxpayer, is discharged, Partially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />Q DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />❑ PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />❑ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />I nereby y that the ebra5 ka De rtment of Revenue has complied with the revenue laws of the State of Nebraska in the deter- <br />mination a dl5char9e, va tizl ielea ' subordination indicated above. <br />site Revenue Agent 3 -31 -86 <br />q Si a ,Title Date <br />Special ant 3 -31 -86 <br />horized Signs a Title Date <br />FOR COUNTY OFFICIAL'S USE _ <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />in <br />l� <br />COUNTY OFFICE — Goldenrod Copy <br />4- 232 -68 Rev, 1 -81 <br />Supersedes 4. 232-68 Rev- 5.78 <br />1 <br />W <br />