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02/08/2005 12:47 FAX 14024714429 NEBRASKA UCC 0 002 I 200501080 UCC Tom Pas: 11 ,2W4 10:25 RM State Tax Lien Statement of Termination or Certificate of Partial Release or Subordination Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. PLEASE DO NOT WRITE IN THIS SPACE Nebraska Identification Number Tax Category Federal Identification Number Social Security Number 99350661 22 507 -76 -6052. Lien Serial Number Lien filed with Date of Lien County 333 -90 -183 0 Register of Deeds ❑ County Cleric 11/29/2004 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name KRISTY L RIDDLE Street Address Street or Mailing Address 840 MICKEY ST City State Zip Code City State Zip Code OSCEOLA NE 68651 of Action o TERMINATION OF TAX LIEN. The State Tax Lien is hereby ftilly terminated. UCC Instrument Number 990436420610 County Instrument Number 1847 TAX YEARS (Corporate, individual income, and withholding tax only) 2001 PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number County Instrument Number TAX YEARS (corporate, individual income, and withholding tax only) E] SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in da or subordination indicated above. sign Revenue Agent 12/22/2004 402 471 -5835 y here Preparer Slknature Title Date Telephone Number Revenue Senior Agent /� A orized Signatuq Title Date / 4232 -6& Rev. &96 Supersedes 4 -232 -69 Rev. 10-95