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Notice of State Tax Lien <br />Discharge, Release, or Subordination <br />e Read instructions on reverse side <br />Lien Serial Number <br />Release Serial Number <br />Date of Lien <br />Social Security Number <br />3110/104 <br />8841 <br />10 -18 -83 <br />508 -56 -1406 <br />85•,•• 005766 <br />Nellmska I.D. Number <br />County <br />Usti Filed With <br />Spouse's Social Security <br />15293254 <br />Hall <br />J] Register of Dead$ <br />jo County Clark <br />Number <br />50_5 -82 -3743 <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name Michael H. & Connie K. Riggins <br />(Jointly & Severally <br />Street Address <br />street or Other Mailing Address <br />2407 N_ W R4 TPrr - <br />City <br />State Z Cade <br />City State Zip Code <br />—.--L— <br />Kan-gag City_ KS 64152 <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 ACTION <br />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 />1 herby /EIf that the N► rar ka Department of Re v rue has com Plfett with Ire revenue laws or the State or Nepraskir in the aetw- <br />a mination he discharge, Partia elease < raertlinail n Innicaleo anwe. <br />e: <br />ere.. • 's 'lure ---• 71. ue ue AOPn _ —__ —__ oale1-19-85 <br />SR�ial Agent <br />Authorized SiIOU re Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White end Canary Copies TAXPAYER -- Pink Copy COUNTY OFFICE - Goldenrod Copy <br />d232ie rev. I-111 Su DerSnaer 0.2J2•GB <br />A—.5.78 <br />U <br />0 <br />-i <br />