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<br />03/26/2009 THU 14:49 FAX 402 471 4429 UCC SBCRBTARY OF STATE ~~~ Hall <br /> <br />121002/002 <br /> <br />06 <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND 8T STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200902208' <br /> <br />1 111"111 fl111 I' <br /> <br />99_91352-4 pss. 1 <br />JANOVEC DAVID J . <br />Filed, 0312612009 11:17 AM <br /> <br />Ir <br />.... <br />~ <br />:Or,~' <br /> <br /> <br />State Tax Lien Statement of Termination <br />or 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 />Deparbnent 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 /> 9280162 91-1762829 505-62-9418 <br />Lien Serial Number Lien filed wilh Date of Lien Tax Category County <br /> 03/07/0046 [!] Register of Deeds' 0 County Clerk 10/05/2007 01 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> David J Janovec <br />Street Address Street or Mailing Address <br /> 7200 South 20th <br />City Stale Zip Code City State Zip Code <br /> Lincoln NE 68512 <br />I Type of Action I <br />[KJ TERMINATION OF TAX UEN. The State Tax Lien is hereby fully terminated, UCC InstnJment Number (9907529134-2 ) <br /> <br />i. <br /> <br />i' <br /> <br />County Instrument Number 200708738 <br /> <br />o PARTIAL RELEASE. <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax only) <br /> <br />The State Tax Lien is partially released as follows: <br /> <br />uce Instrument Number <br />County Instrument Number <br /> <br />o SUBORDINATION. <br /> <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br /> <br />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 /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of e termination, partial release, or subordinaUon indicated above. <br /> <br />Revenue Senior Agent <br />Title <br /> <br />~'l <br />Date <br /> <br />308 385-6073 <br />Telephone Zber <br /> <br />!R<I;i <br /> <br />............. -.".., .....'W <br /> <br />Revenue Supervisor <br />Title <br />