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Notice of State Tax Lien 86— 101715 �a Discharge, Release, or Subordination reeess.rt • f it�etrtsliew ear mien" side Batt swot Nwy4w Mtepe Serial NVInHM pate of lien Social S6CurIty Number diKharge l+al releasrt or sub 1/07/767 9194 7 -9 -81 "t. ur• � /�� /j- 'r•Leel�� Sperial Avant 4 -7 -86 Date Ndirs i:I.D. mu~ County t3eo l" with spouse's Social security 4 -7 -86 G I*~ of p each Nu mber Data 1 21- 3787389 Ha11 County Clark tilMNM MANE AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Slsineas NYme were Mrs. Jans Day Care Inc. Mrs. Jans Day Care Inc, Mrs" Adetren street or Other Mailing Address 41s West 8th 1 West 8th city - state _ Zip Code City State Zip Code Grand Island, NE 68801 lGrand Island, NE Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien which has been duly filed against the above name) taxpayer, is discharged, partially released, or subordinated to the extent gated below. TYPE OF ACTION i7 DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. ❑ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy a- 232 -68 Rev. 1.81 Su ortricdes a- .'32 -6e Rev. 5 -79 U IN I Fi! I —i I herlby Cartify that the Nebraska Department of Revenue has Complied With the revenue laws of the Slate of NebraSka in the jeter- diKharge l+al releasrt or sub Qlna:r on intli ca led abwa* (�—'�� "t. ur• � /�� /j- 'r•Leel�� Sperial Avant 4 -7 -86 Date l— -- �� -�n� ._ 4 -7 -86 Authorized sE ature rift Data 1 FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy a- 232 -68 Rev. 1.81 Su ortricdes a- .'32 -6e Rev. 5 -79 U IN I Fi! I —i