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n <br />t <br />P <br />Notice of State Tax Lien <br />rarka Discharge, Release, or Subordination I <br />tiepartrnent <br />of -venue • Raw inetructi— ne r.e r-61. <br />l.IM SaHI Number <br />Release Serial Number <br />Date of Lien <br />Social Security Number <br />1/12/255 <br />7M <br />12/1181 <br />1505-34-8268 <br />Spous -'s Soelat SxuNty <br />Nsbfasks I -M Number <br />County <br />Ilan —Filed With <br />191000 <br />Hali <br />Register of Oasds <br />Number 85.,,,, Ot3p'p3 <br />- CouMy CINk <br />BUSINESS NAME AND LOCATION <br />ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Nam- <br />�� <br />r.aar Ho _k <br />.rFtnd Tgland Copy CO <br />Gerald Rock <br />Street Address <br />Street or Other Mailing Address <br />ana <br />w <br />Rural Route 3 Box 15A <br />City <br />State Zip <br />Code <br />City State Zip Code <br />r`ranA <br />Ttalanri NE 68801 <br />Grand Island Ne 68801 <br />�utauattt to the revenue taws of the State of Neb. *aska, notice is hereby given that the Notice of State Tax Lien <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 />IN 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 follow s. <br />1 hereby C that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the deter• <br />minatrt,7n of t Charge, Partial release or spbordnlatron indicated above. <br />here �l. .• — Revenue Agent 2/ J' /85 <br />Prep 's Si tur Tltfe pate <br />Manager 2 /tp /85 <br />-� Authorized Signatur ride pat- --- <br />FOR COUNTY OFFICIAL'S USE <br />NEORASKA DEPARTMENT OF REVENUE - White and canary Copees 4y TAXPAYER _Pink Copy COUNTY OFFICE -- Goidenrnd Copy <br />•'.2322.88 Rev. 1 -al <br />5upmtsmd -s 8.233 -ka Rev. 9 -: a <br />