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<br />04/07/2009 TUE 15:10 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/003 <br /> <br />t)'O <br /> <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 />200902569 <br /> <br />9909592560-6 PSIS' 1 <br />SMIDT ROCKV L <br />Filed: 0410712009 11:49 AM <br /> <br />:. <br /> <br /> <br />~~ <br />Nebr,a-slta Dep.anmentof <br /> <br />REVENUE <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE 00 NOT WRITE IN THIS SPACE <br /> <br />;- <br />f <br /> <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />0" i <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br /> <br />i" <br />;' <br />;.: f'-: <br /> <br />fri.,i,~~ ~.-h:II--'"':) fk. Il& <br /> <br />fi/~, fiJf.- ,,~1I0 <br /> <br />PURSUANT TO THE 'REVENUE LAWS OF THE STATE OF NEBRASKA, NOTICE IS <br />HEREBY GIVEN BY THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX LIEN WHICH HAS BEEN DULY FILED AGAINST THE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br /> <br />SOC. SEC. NO. XXXXX5645 <br />NEBR. IDENT. NO. 36004766 <br />SPOUSE soc. SEC. NO. __~ ~ <br />TAXABLE YEAR .19&9' ROCKY L- SMIDT <br />LIEN NO. - 97C,6000ia iircr--sou:r RN DR <br />LIEN RELEASE NO. 090631086 NORFOLK NE 68701 <br />COUNTY 1/ ~t1 <br />DATE OF NOTICE ~03/200~ <br />INSTRUMENT NO _ uce; ,-4-89'710'193"$ -::) <br />INSTRUMENT NO. CTY Q1-/0'l933 <br /> <br />; , <br /> <br />; ~ <br /> <br />. 1'-, <br /> <br />~. . <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THIS TERMINATION. <br /> <br />f1.~~ <br />PREPARER'S SIGNATURE <br /> <br />. . <br /> <br />~~~.... <br />TITLE <br /> <br />. y{t(/~.~(. A~J- <br />TITLE \I <br /> <br />. :J.lJ ~/.o.1 . . . . . . <br />DATE <br /> <br />. .df.~. i1o./rk.. <br />AUTHORIZED SIGNATURE <br /> <br />. . 3. I t ~ j Jj}P.rz . . . <br />DATE <br /> <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br /> <br />v <br /> <br />1/115 11/01 <br />