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01/14/2005 16:44 FAX 14024714429 NEBRASKA UCC Q 004 /004 <br />200500464 <br />a Inc of 54,046 -UCC TU - <br />I <br />9905372583 -4 Pas: 1 <br />MARTINEZ GILBERT R <br />Filed: 01114/2005 02:09 IM't <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />r <br />X TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS (corporate, individual income, and withholding tax only) _ <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows <br />UCC Instrument Number � <br />County Instrument Number,..,.91111D17 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <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 the termination, partial release, or subordination indicated above. �� <br />sign 1111. 402 471 -5709 < ` <br />here Pre er's Signat a Title Date Tele one umber <br />Aiwl Revenue Senior Agent <br />uth nz n re Title Daf <br />4- 232-66 Rev. 6 -96 Supmedes 4-232 -69 Rev. 10 -95 <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 <br />Federal Identification Number <br />Social Security Number <br />Spouse's Social Security Number <br />6490581 <br />505 -76 -9031 <br />Lien Serial Number <br />Lien filed with <br />Date of Lien Tax Category <br />County <br />3/12/440 <br />Register of Deeds ❑County Clerk <br />12 -31 -93 94 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Gilbert R Martinez <br />Street Address <br />Street or Mailing Address <br />924 West First St <br />City State Zip Code <br />City State Zip Code <br />Grand Island NE 68801 <br />Type of Action <br />r <br />X TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS (corporate, individual income, and withholding tax only) _ <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows <br />UCC Instrument Number � <br />County Instrument Number,..,.91111D17 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <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 the termination, partial release, or subordination indicated above. �� <br />sign 1111. 402 471 -5709 < ` <br />here Pre er's Signat a Title Date Tele one umber <br />Aiwl Revenue Senior Agent <br />uth nz n re Title Daf <br />4- 232-66 Rev. 6 -96 Supmedes 4-232 -69 Rev. 10 -95 <br />