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02/01/2005 17:01 FAX 14024714429 <br />N <br />NEBRASKA UCC <br />200500990 <br />Q004/004 <br />vm <br />Or Notice of State Tax Lien <br />nebratka <br />depar(menf <br />Of revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br />SOC. SEC. NO. 506728967 <br />NEBR. IDENT. NO. 17144914 <br />SPOUSE SOC. SEC. NO. 505769486 <br />TAXABLE YEAR 2002 DAVID R & BRENDA K ASTRONES <br />LIEN NO. 042190173 PO BOX 213 <br />LIEN RELEASE NO. 050124018 DONIPHAN NE 68832 <br />COUNTY HALL <br />DATE OF NOTICE 0 <br />INSTRUMENT NO. UCC goy 4 -7 — <br />INSTRUMENT NO. CTY oo y_py�zZ <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 />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 />REPARER'S SIGNATURE <br />THORI ED SIGNATURE <br />TITLE <br />TITLE <br />DATE <br />/ -rte : °5�....... <br />DATE <br />PLEASE RETAIN THIS NOTICE WITH YOUR PERMANENT RECORDS. <br />rfT15 10!04 <br />