Laserfiche WebLink
06/11/2009 THU 15:48 FAX 402 471 4429 UCC SBCtiETARY OF STATE -~~-~ Hall <br />o`~ <br />-,7. ~ ... air. <br />Please forwazd to: 2.0 0 9 0 4 6 7 5 <br />Nebraska Department of Revenue <br />4500 Ave Y PO Box 1 S00 <br />Scottsbluff, NE 69363-1500 <br />X004/004 <br />NE see of Sta!^ Jahn R 6a:e <br />UCC Tes <br />9909589235-4 Paz: 1 <br />FORed~ 06M9N12009 12:06 PM <br />tee~,~„e~~~ State Tax Lien Statement of Termination or <br />~E~~E Certificate of Partiai Release or <br />w WNr./MY/r1Yl.n~-Od1r <br />Subordination <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 whieh 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 />31873464 ~(-)()(-D3gg <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />32130113 Register of Deeds []County Clerk 05/09!2006 22 H811 <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name , <br /> Dominic A Moreno <br />Street Address Street ar Mailing Address <br /> 321 N Dan' <br />City State Zip Cade City State Zip Code <br /> Grand Island NE 68803 <br /> Type of Action 406~~3~~k!~D - Z. <br />©1'ERMINATION OF TAX LIEN. The State Tax Uen Is hereby fully terminated. UCC Instrument Number <br />County Instrument Number 200604231 <br />TAX YEARS (corporate, individual Income, and withholding tax only) 200D, 2002 <br />PARTIAL RELEASE. The State lax Lien is partially released as follows: <br /> <br />TAX YEARS (corporate, individual income, and withholding tax only) UCC Instrument Number <br />County Instrument Number <br />SU80RDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Numher <br />County Instrument Number <br /> <br /> <br />of the termihpGon, partial release, or subordination indicated above. <br />sign <br />here <br /> <br />revenue <br />Revenue A ent 05/20/2009 <br />Title Date <br />Revenue Su elvisor <br />Title <br />308 632-1200 <br />Telephone Number <br />05/20!2009 <br />Date <br />4.23268 Rev, 8-88 Supersedes ¢232$9 Rev, 14-95 <br />F-~ <br />