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i <br /> <br />Notice of State Tax Lien <br />nebra3ka Discharge, Release, or Subordination <br />artrrlee t • Raad inrtruations on reverse aide <br />Uen Sera) Number <br />82134090- Release Serial Number <br />5735 Date of Lien <br />9-24-82 Social SecurltY Number <br />508-42-0180 <br />~3'-QQE)~Jt'~'2' <br />Nsbrssla 1.0. Number <br /> <br />i889fi189 County <br /> <br />Hall Lien Flied Wifb <br />Regi3tel of Oeetls <br />cpumvcterk Spouse'3 $OClal Security <br />Number <br />507-58-3266 <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAfUNG ADDRESS <br />Bustntss Name Name <br />R'chard f Ma r en A Werner <br />Street-Address Street or Other Maf ling Atltlres3 <br />City State Zia Code City State Zip Cotle <br />I Grand Island NE 68801 <br />Purslumt to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />which has been duly filed against the above named taxpayer, is dischazged, partially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />~ DISCHARGE TAX UEN. The Notice of State Tax Lien is hereby fully discharged. <br />^ PARTIAL RELEASE. The Notice of State Tax Lien is released ss follows. <br />Q SUBORDINATED. The Notice of State Tax Lien is subordinated as tollows. <br />i hereby certify that the ska Department of Revan ue na3 comofieP with the revenue laws of the State of Nebraska In the deter- <br />mination pf the tliscnarge, p3rtia rele 5e ar 3pbordination indicated above, pry <br />~8n Revenue AgEpt ~- 3 v.~ <br />Prep ~'3 S Title Ddte <br />~~~ Saecial Agent ~ -,~ ~g~ <br />Auihorized Signas Title Date <br />NEBRASKA DEPARTMENT OF REV ENUE - White aid Canary Copies TAXPAYER -Pink Cdpy COUNTY OFFICE -Goldenrod Copy <br />4-232-tie Rev. 1-8t <br />S~pe,setle54-232-6a Rev, 5-7a <br />~. <br />4..~ <br />