Laserfiche WebLink
<br />08/05/2008 TUE 15:23 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121004/004 <br /> <br />Please relurn to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />1IIIIrllllfll'III <br /> <br />9908567665-5 Pgs. 1 <br />BUSCHER CONEL . <br />F!led; 08/05/2008 10;41 ~ <br /> <br />o~ <br /> <br />. . i.: <br /> <br />200806757 <br /> <br />~ <br />"1.10....... D__rt" <br /> <br />REVENUE <br />WVl;'w..............u. .1." ...."" <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 halS been duly tiled by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />tenninated, partially released, or subordinated to the extent indicated <br />below. <br /> . <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 7939248 XXX-XX-9802 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br /> 05/08/334 [KjRegister of Deeds OCounty <?1e,1k 07/19/2005 OJ/;).I Hall <br />I BUSINESS NAME AND LOCATION ADDRESS::\ TAXPAYER NAME AND MAIUNG ADDRESS <br />Business Name _.-t. .' Name <br /> Coner Buscher <br />Street Address Street or Mailing Address <br /> 715 West First Street # 3 <br />City Stelle Zip Code City State Zip Code <br /> Grand Island NE 68801 <br />I Type of Action I <br /> , <br /> <br />~ TERMINATION OF TAX LIEN. The Stelte Tax Lien is hereby fully tenninaled. <br /> <br />o PARTIAL RELEASE. <br /> <br />TAX YEARS (corporate, Individual income, and withholding tax only) 2004 <br /> <br />uee Instrument Number <br /> <br />County Instrument Number <br /> <br />~5410644~7~ <br />200508717 <br /> <br />o SUBORDINATION. <br /> <br />TAX YEARS (corporate, Individual Income. and Withholding tax only) <br /> <br />The Slate Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />", <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 />delermination of the t inatio, partial release, or subordination indicated above. <br /> <br />Revenue Senior Age,,! <br />Title <br /> <br />Revenue Senior Agent <br />Title <br /> <br />~)4 J l> 8' <br /> <br />Date <br /> <br />3()f-38S-/Po73 <br />Tel~hone Number . <br />fJ)4 J :J1'YJK <br />Date <br />4-232-68 Rev. 8-96 Supersedes 4-232-69 Rev. 10-95 <br /> <br />It- <br />