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<br />04/21/2008 HON 14:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI003/005 <br /> <br />b <br /> <br /> <br />200803353 <br /> <br /> <br />~....,.... <br />. , <br />. . <br />N..b,."k., D..-"" of' <br /> <br />REVENUE <br />WWW.~IIIIIi.f_~""..;""....V" <br /> <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br /> given that the State Tax Lien which ha~ been duly filed by the Nebraska <br />Department of Revenue against the belowRnamed taxpayer, is <br />tennlnated, partially released, or subordinated to the extent indicated <br />,below. <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 33592640 XXX-XX-2756 <br /> lien Serial Number Lien filed with Date of lien Tax Category County <br /> 912140021 [2gRegisterof Deeds DCounty Clerk 11/20/1991 22 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> Benjamin Hartfile <br />Street Address Street or Mailing Address <br /> PO Box 561 <br />City State Zip Code City , State Zip Code <br />" Martins Ferry OH 43935 <br /> .. <br />I Type of Action <br />~ TERMINATION OF TAX LIEN. The Stale Tax Lien is hereby fully terminated. ' UCC Instrument Number l 0891107809 ') <br /> <br />TAx YEARS (corporate, Individual Income, and withholding tax only) ,1988 <br />o PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />___,"..,,___ ... ...m ... .._ .. ...... ... ... . County Instrument Number <br />, ....' TAX-vEARS':(corporate;"lndlvlduaf'i"ncome";"andwitti"holdlngtuoniy)."-....,..,_."._..._.:-.:--::._'"-~-:--,""'-"'.--"".-"".~,.,,-':.:"...""'"... <br />o SUBORDINATION. The State Tax lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br /> <br />County Instrument Number <br /> <br />91-10780911120/1991 <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />sign <br />here <br /> <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determin ion of the termination, partial release, or subordination indicated above. . <br /> <br />Jf 1/5 Jcttm <br />Date <br /> <br />Revenue Senior Agent <br />Title <br /> <br />Revenue Supervisor <br />Title <br /> <br /> <br />4"232,.68 Rev, s.s6 Supersedes 4"232-69 Rev, 10-95 <br /> <br />0? <br />