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<br />01/13/2009 TUE 16:20 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/002 <br /> <br />~ <br /> <br />NE SOlO of Stet.. John R Gel.. . uee TDS <br /> <br />200900224 <br /> <br /> <br />99095~3061-7 Pgs: 1 <br />HUFFMAN TERRY <br />Filed: 01/1312009 11:01 AM <br /> <br /> <br />~ <br />~.b"",,"" iDojop..-.o1lT....r1: o~ <br /> <br />REVENUE <br /> <br />WWW.II...v.l..~li1. 1........\11. <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 Federalldentificalion Number Social Security Number Spouse's Social Security Number <br /> 32462824 XXX-XX-2960 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br /> 520080021 00 Register of Deeds OCounty Clerk 02/21/2008 HALL <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> TERRY HUFFMAN <br />Street Address Street or Mailing Address <br /> 947 S. OAK <br />City State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68801 <br />I Type of Action .....- -- I <br />00 TERMINATION OF TAX LIEN. The Stale Tax Lien is hereby fully terminated. uce Instrument Number ( 99085606812 '> <br /> County Instrument Number -.-- <br /> <br />TAX YEARS (corporate, indlvlduallncome, and withholding tax only) 2005 - 2006 <br /> <br />o PARTIAL RELEASE. <br /> <br />The State Tax Lien is partially released as follows: uec Instrument Number <br />County Instrument Number <br /> <br />TAX YEARS (corporate, Individual Income,. and withholding tax only) <br /> <br />o SUBORDINATION. <br /> <br />The State Tax Lien is subordinated as follows. <br /> <br />uce Instrument Number <br />County Instrument Number <br /> <br />PLEASE RETURN COpy OF <br />FILED LIEN TO: <br />NEBRASKA DEPT OF REVENUE <br />_RTH 5'1'", SUITE 0 <br />_ 1IIe.., . <br /> <br />I hereby certify that the Nebraska Department Of Revenue nas complied with the revenue laws of the State of Nebraska in <br />. ation of the t ination, rtial release, or subordination indicated above. <br /> <br />sign <br />here <br /> <br /> <br />Revenue Sr. Agent <br />Title <br />Revenue Supervisor <br />. Title <br /> <br />01/09/2009 <br />Date <br /> <br />402 370-3501 <br />Telephone Number <br /> <br />01/09/2009 <br />Date <br />4.2a2-68 Rev. 8-96 Supersede. 4-2a2-69 Rev. 10-95 <br /> <br />v <br />