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01/21/2005 12:42 FAX 14024714429 NEBRASKA UCC (002/003 <br />l <br />200500598 <br />09: 29 AM <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Pieasc Tcturn tD: <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />STATE OF NEBRASKA <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />DEPARTMENT OF REVENUE <br />Department of Revenue against the below -named taxpayer, is <br />1811 WEST 2ND ST STE 460 <br />terminated, partially released, or subordinated to the extent indicated <br />GRAND ISLAND NE 68803 <br />Or <br />Nebraska Identification Number <br />Tax Category <br />Social Security Number <br />Spouse's Social Security Number <br />17450128 <br />506-46 -0742 <br />200500598 <br />09: 29 AM <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />Type of Action <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />9903 9495711 <br />200312403 <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 />Tax Category <br />Social Security Number <br />Spouse's Social Security Number <br />17450128 <br />506-46 -0742 <br />Lien Serial Number <br />LienTled with <br />Date of Lien <br />County <br />3109/417 <br />0 Register of Deeds County Clerk <br />09/04/2003 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Thomas A Wagoner <br />Street Address <br />Street or Mailing Address <br />P O Box 1585 <br />City State Zip Code <br />City State Zip Code <br />Grand Island NE 68802 <br />Type of Action <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) 1996,2000,2001,2002 <br />9903 9495711 <br />200312403 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. 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 />d ermination ofAlb termination, partial release, or subordination indicated above. -- <br />sign Revenue Agent 01/14/2005 308 5-6067 <br />here p rer's Signature Title Date Telephone Number <br />a Revenue Supervisor 01114/2005 <br />Authorized ig re Title Date <br />4 -232 -68 Rev. 8-96 Supersedes 4 -232 -69 Rev. 10 -95 <br />-11111 <br />