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07f1312005 ~NtC1S 14: SO FAX 402 471 4429 LTCC SBCRSTARY OF STATE yyy Ha11 <br /> <br />~d~i~~ ~i, ~~, <br />Please forwardto: 2 0 0 9 0 5 7 0 2 <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br />"t <br />0003/007 <br />%19/20~N10:22 AM <br />~,,~;•,~~~ State Tax Lien Statement of Termination or <br />~E''~'E~1~ Certificate of Partial Release or <br />MfMIMf.h~l/lppr.A~.4 W <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pwrsuant to the revenue laws of the State ai Nebraska, notice ~ hereby <br />given that the Stab Tax Lien which has been duly flied by the Nebraska <br />Department of Revenue against the below-named taxpAyer, is <br />terminated, partially released, or subordinated to d>Ie extent tndkated <br />.below. <br />Nebraska Idertliflcation Nurnber Federal Identification Number Social curity Number Spouee'e Social Securlgr Number <br />26190361 xxx XX-+i862 <br />Lien Ser~l Number Lien filed with pate of l.~n Tax Category County <br />82510918 ®Register of Deeds QCaurrty Clerk 03/2112007 32 Hall <br />• BUSINESS NAME A ND LOCATIQN ADpRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> t(evin N Rodenbaugh <br />Street Address Street qr MaNinp Address <br /> 237 N Rub <br />City State Tp Code C~r State Zip Code <br /> Grand fsfand NE 68803 <br /> Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hend~t iutly ~rminated. tJCC Instrument Number ~ 99075023218 <br />Counq~ Mretrwnent Number <br />TAX YEARS (corporate; Indhrtdual income, aMi vrid>holdirlg tax oMyy 2005 <br />M Y -- <br />PARTIAL - - - -- - <br />county. Instrumard Number <br />TAX YEARS (corporate, Individual Income, and vvithholdlna tax only} <br />SUf30RDINATION. The State Tax Lien N subardineted as ~Ilows. UCC I~merrt Number <br />County Instnnnent Nu+r-ber <br />r nnrnu ury•tna~ me asRa uepanmem or rcevenue nos campuea WRn the revenue laws ai me State oT Nebraska In <br />detennin ~ the in • , pa I release, ar subordfnatbn indicated above. <br />Sign Revenu~_A~gent 07/10/2009 306 832-1200 <br />f1ib1'9 ~ ( re Title pate Telephone Number <br />Revenue Su rvisor 07/10/2009 <br />Authorized Sign Title Data <br />xrt~o av. e~9 srra+..a.r +,~~ Rev. t0~s <br />V. <br />^: <br />