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<br />04/10/2008 THU 14:53 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/004 <br /> <br />.v~ <br /> <br />200803017 <br /> <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottshluff, NE 69363-1500 <br /> <br /> <br />..~ <br />tIIebraslk:a oepartmentof <br /> <br />REVENUE <br /> <br />wW\jW , ravenMC , n~. gQV <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br /> <br />XXXXX1740 <br />35457761 <br /> <br />soc. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />LIEN RELEASE NO. <br />COUNTY <br />DATE OF NOTICE <br />INSTRUMENT NO. UCC <br />INSTRUMENT NO. CTY <br /> <br />1991 <br />010610011 <br />080878069 <br />HALL <br /> <br />~/m~ <br />c:XJO.lJ.I.l/. ~ <br /> <br />DOMINICK D GUARDIOLA <br />1122 E 5TH ST <br />GRAND ISLAND NE 68801 <br /> <br />PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />,STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THI TERMINATION. <br /> <br /> <br /> <br />. . ~/ Lf. b.f . . . . . . . <br />DATE <br /> <br />..d~...... <br />DA:(E Y <br /> <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br /> <br />v- <br /> <br />IIT15 09101 <br />