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Notice of State Tax Lien <br />�ermain Discharge, Release, or Subordination <br />boofpr�e�e t <br />• Read itstructions on reverse site <br />Uan Serial Numbar R+;laosa Swta1 Number Data or Lien Social Security Number <br />1 1/08/901 8/26/81 505 -34 -8268 <br />r4ww"ka I.O. Numbar County an Flied With Spouse's Soclal Security <br />191000 Hall 6 Register of Dmds Number 85Y-o <br />Caunty Clwk iDO9744. <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />—Gerald Rock Grand Island Copy Co Gerald Rock <br />Street Address <br />Street or Other Mailing Address <br />404 West 4th Rural Route 3 Box 15A <br />'city state zip Code City <br />State zip Coda <br />Grand Island NE 68801 Grand Island Ne 68801 <br />Pursuant to the revenue laws of the State of Nebraska, 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 APTtntu <br />I$ 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 />r h""" Ctartiry that the Nebraska Department of p.__t@ has contpiied with th@ reaanue laws o1 th@ State 01 Nebraska il: the delaf- <br />mm" edlscha 9e „partl r @J se or�°or Uination intliCatetl above. <br />r� %'.i%� Revenue Agent <br />Leif - reoua� -Y. <br />7iti@ <br />Manager °j /85 <br />.AUtlkbtl{ad.1'ture - --- _.-- . -_._._ <br />Title Dat@ <br />Fq COUNTY OFFICIAL'S USE <br />NIISRASKA DEPARTMENT OF REVENUE -- White and Canary Copies TAXPAYER Pink Copyµ COUNTY OFFICE - Goldenrod Copy <br />4 232 <br />.68 Rea, tai <br />supersedes 4.232.611 nev, 5.1a <br />X <br />