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<br />09/15/2008 NON 15:38 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI002/003 <br /> <br />200807922 <br /> <br />111"11111111'111 <br /> <br />9908578894-5 Pgl. 2 <br />JOHNSON CARL. W . <br />Filed: 09/15/2008 02;051 PM <br /> <br />0<(; <br /> <br /> <br />~ <br />Hel:il'a.li. DIIlI__nt'" <br />REVENUE <br /> <br />WIiNW'.r.-v..u..ft...ev <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 flied by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />tennlnated, partially released, or subordinated to the extent Indicated <br />below. <br />Nebraska Identification Number Federalldentiflcation Number SocIal Security Number Spouse's Social Security Number <br /> 39437116 xxx-xx-8951 xxx-xx-0902 <br />Uen Serial Number Lien flied with Date of Lien Tax Category County <br /> 963130009 1&1 Reg;ster of Deeds DCounty Clerk 02/26/1997 22 HALL <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> CARL W. & EVELYN D. JOHNSON <br />Street Address Street or Mailing Address <br /> 14430 HWY 789 <br />City State Zip Code City State Zip Code <br /> KEITHVILLE LA 71047 <br />I Type of Action I <br /> <br />,- <br /> <br />~ TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br /> <br />uee Instrument Number <br />County Instrument Number <br /> <br />No VCl- set ~f~ <br />97~101285 <br /> <br />TAX YEARS (corporate. Individual Income. and withholding tax only) 1994 <br />o PARTIAL RELEASE. The State Tax Uen is partially released as follows: UCC Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate. Individual income, and withholding tax only) <br />o SUBORDINATION. The State Tax Lien is subordinated as follows. <br /> <br />uee Instrument Number <br />County Instrument Number <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 />detennin ion of the termination, partial release, or subordination Indicated above. <br /> <br />Revenue Agent <br />Title <br /> <br />Rev Agent Supervisor <br />TItle <br /> <br />09/12/2008 <br />Date <br /> <br />402 595-1398 <br /> <br />F~ <br /> <br />D e <br />40232~ Rev. 8.96 8upetlGdll4-232~1l RIY. 10-$$ <br /> <br />SEE ATTACHMENTS <br /> <br />1:13:. L-ie.M-rj) <br />