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<br />200902120 <br /> <br />r>> <br /> <br />. s." IIf" S~.~.. Jahn II '.1. . uce fig <br /> <br />'. <br /> <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br /> <br />9909591008-5 Pes: 1 <br />WESCOAT DAVID G <br />FiJRd: 03/24/2009 09:44 AM <br /> <br /> <br />~ <br />N........... D......~nt.., <br /> <br />REVENUE <br /> <br />'\lVwVW' .rt....,...1"II U Wr. ft.... ov <br /> <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br /> <br /> PLEASE 00 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 Federal Identification Number Social Security Number Spouse's Social Security Number <br /> 21036993 XXX-XX-7406 <br />lien Serial Number Lien filed with Date of Lien Tax Category County <br /> 61040062 ~Reglster of Deeds Dcounty Clerk 02114/2006 22 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> David G Wescoat <br />Street Address Street or Mailing Address <br /> 102 W Pine PO Box 42 <br />City State Zip Code City State Zip Code <br /> Aida NE 68810 <br />I Type of Action I <br />r&I TERMINATION OF TAX LIEN. The Slate Tax Lien is hereby fully terminated. uce Instrument Number C 99064809463 ) <br /> <br />County Instrument Number <br /> <br />200610319 <br /> <br />TAX YEARS (corporat., Individual Income. and withholding tax only) 2003 <br />o PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br /> <br />UCC Instrument Number <br /> <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 />UCC Instrument Number <br />County Instrument Number <br /> <br />sign <br />here <br /> <br /> <br />308632-1200 <br />Telephone Number <br />03/16/2009 <br />Date <br />.......... ... ,_...",.,.... ,... (1') <br /> <br /> <br /> <br />11~H ~~~ a~~~s iQ A~~aHJaS JJn 6Ztt tLt ZOt XVi Zt:tt an~ 600Z/tZ/EO <br /> <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Tille <br /> <br />03/1612009 <br />Date <br /> <br />Zoo/zOOIll <br />