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<br />06/03/2008 TUE 15:26 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />fljo 0 2/ 005 <br /> <br />~ <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />200804794 <br /> <br />If I dtrlll" III 'I <br /> <br /> <br />9908561813-4 p~s, 1 <br />BOSTWICK JESSE 0 <br />Filed: 0610312008 10:54 AM <br /> <br /> <br />a~DI'~~~ <br />REVENUE <br />"-'VUiliW..~.IJ.""i.tI*.,Ro"'."O""': <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 has been duly filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />terminated, 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 /> 12619817 XXX-XX-2023 <br />Lien Serial Number Usn filed with Date of Lien Tax Category County <br /> 60410178 [2gRegister of Deeds DCounty Clerk 06/08/2007 22 Hall <br />r BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Jesse 0 Bostwick <br />Street Address Street or Mailing Address <br /> 238 South Oak <br />City State Zip Code City State ' Zip Code <br /> Grand Island NE 68801 <br />r Type of Action I <br />1ZI TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number ( 99075131849 ') <br /> Coun Instrument Number 20"" u.......u~.c.. <br /> <br />ty <br />TAX YEARs (corporate, individual Income, and withholding tax 'only) 2003,2004,2005,2006 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien is partially released as follows: uee Instrument Number <br />County Instrument Number <br /> <br />o SUBORDINATION. <br /> <br />TAX YEARS (corporate, individual income, and withholding tax only) <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br /> <br />County Instrument Number <br /> <br />sign <br />here <br /> <br /> <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br /> <br />05/3012008 <br />Date <br /> <br />308632-1200 <br />Telephone Number <br /> <br />, certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />lion of the te nation, artlal release, or subordination indicated above. <br /> <br />05/3012008 <br /> <br />Date <br />4-232-68 Rev, 8-96 Supelliedes 4.2J2~9 Rev. 10-95 <br /> <br />oP <br />