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i State Tax Lien Statement of Termination or Certificate ot Partial Release or Subordination t:ian- Serial Number Document: Serial Date of Lion Social security Number or ' 4 ll .802 Number - 9756 ' 11 -8-84 Federal J.D. . Number �nC 107058 V 6— �Nebreska I.D. Number County Lien Filed With Spouse's Social Security Register of Deeds Numbs, '411:7vVV. Hall E County Clerk °„ SUSINESSNAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS . Duane" Name Name Stabla Nobile Home Service Inc. Bob Stahla;Mobile Home Service Inc. Street Add" : Street or Other Mailing Address 2108 South Locust Street P.O. Box 206' ' City ! State Zip Code City state ZIP code Grand Island NE 68801 Grand Island, NE 68801` Pursuant to the revenue taws of the State of Nebra*a, notice is hereby given that the State Tax Lien which has been duly filled by the Neb=*a Department of Revenue against the above named taxpsyer, is terminated, partially released, or subordi- nated'to the extent indicated below. TYPE OF ACTION TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. I PARTIAL RELEASE. The State Tax Lien is partially released as follows. lime of Party making request and responsible for filing certificate of partial release with appropriate filing officer. SUBORDINATION. The State Tax Lien is subordinated as follows. lame ON partymaking request and responsible for filing certificate of subordination with appropriate flung officer. I hereby, :certify that trio Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the terminati n; partial release or subordination indicated above. tr sn Revenue Agent 12 -8 -86 reps rE Title Date i 1 Agent 12 -8 -86 Authorized Sig Title Date FOR COUNTY OFFICIAL' S USE NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Coov 4•232 -66 Rev. 5.86 Supersedes 4 •232.66 Rev. 3 -81 L L J