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<br />10/13/2005 16:45 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />@ 002/003 <br /> <br />.-1-' .. <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />.' DEPARTMENT OF REVENUE <br />" 1811 WEST2~ STSTE460 <br />GRAND ISLAND NE 68803 <br /> <br />11111111111 <br /> <br /> <br />9905416486-7 pgs: 1 <br />HUGHES BRVAN <br />Fil.d, 10/11/2005 10:22 RM <br /> <br />~ <br /> <br />2005-10202 <br /> <br />Ir <br /> <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br /> <br />t1ebta:sllll <br />dOPGMonl <br />~~I\t <br /> <br />I PLEASE DO NOT WRITE IN THIS SPACE <br /> <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 flied 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 /> 8061068 600-60~9937 <br /> Lien Serial Number Lierl filed with Date of Lien Tax Calegory County <br /> ,- <br /> 04-03-307 .' o Register Of.DeedS 0 County Clerk 03/15/2004 01/66 Hall <br /> , -. - <br />I - BUSINESS-NAME,AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> Bryan Hughes <br /> Slreel Address Street or Mailing Address <br /> 1946 North 104th Drive <br />City Slale Zip Code _ City State Zip Code <br /> Avondale AZ 85323 <br />I Type of Action I <br /> <br />[K] TERMINATION OF TAX LIEN. The Slale Tax Lien is hereby fully terminated. <br /> <br />UCC Instrument Number c:]M432344B"::t) <br />County Instrument Number 200402565 <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien Is partially released as follows: <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate,lndividual income, and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The Stale Tax Lien is subordinated as follows. <br /> <br />UCC Instrument Number <br />County Instrument Number <br /> <br />sign ... <br />here pr are' ~""'re& /' <br /> <br />~ ~~;K ./ <br />(l..u or~ 'nat re'-' _ <br /> <br />I hereby certify that Ihe Nebraska Department of Revenue has complied with Ihe revenue laws of the State of Nebraska In <br />determi~tion of the rmina 'on, partial release, or subordination indicated above. <br /> <br />Revenue Senior Agent <br />Title <br /> <br />Revenue Supervisor <br />Title <br /> <br /> <br />10/06/2005 <br />Date <br /> <br />308 385-6073 <br />Telephone Number <br /> <br />10/06/2005 <br />Date <br />+232-8B Rev. B.96 Superoedes 4.232-89 Rev. 10.95 <br /> <br />~D <br />