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10/O6/20p9 TU8 14:33 FAX 402 471 4429 UCC SECRETARY OF STATE -+y-+ Hall <br />X003/pp5 <br />NS SeC pf iisis Jvhn R Ysls - N[C TB! <br />o~ <br />Please forward to: 2 O O~ O$ ~ s 5 ta9ess®ss~z..s tea: i <br />FATTEN BRIAN F <br />Filed: 10/08/2009 08:48 AM <br />Nebraska Department of Revenue <br />4500 Ave T PO Box 15Q0 <br />Scottsbluff, NE 69363-1500 <br />r~~etr,tkr[~r~„u„am~ State Tax Lien Statement of Termination or <br />~E''~'E~I~E Certificate of Partial Release or <br />w w.~r, ryv~ n v r .:n r. ~ rv <br />Subordination <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 Federal Identification Number Social Security Number Spouse's Social Security Number <br />31595200 XXX-XX-3755 <br />Lien Serial Number Lien filed with Date of Lisn Tax Category County <br />90090245 ©Register of Deeds []County Clerk 02/27/2009 22 Hall <br />13USINE5S NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />t3usiness Name Name <br /> Brian F Patten <br />Street Address Street or Mailing Address <br /> 664 Faidley PI Apt 4 <br />City State Zip Code City State Zlp Code <br /> Grand Island NE 68803 <br /> Type of Action <br />©TERMINATION OF TAX LIEN. The State Tax Llen is hereby fully terminated. UCC Instrument Number 99095884266 <br />County Instrument Number 200901536 <br />TAX YEARS (corporate, individual income, and withholding tax only) 2006, 2007 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br /> <br />TAX YEARS (corporate, individual income, and withholding tax only) IJCC Instrument Number <br />County Instrument Number <br />SUBORDINATION. The State Tax Lien is subordinated as Follows. UCC Instrument Number <br />County Instrument Number <br /> <br /> <br />'7 u~ai w~~c ~~cuieana uGNalUrltln{ Gr R6verrYe n8s COmpIIBO Wltn Ire revenue <br />the terfi~ination. partial <br />sign <br />here <br />.. <br />release, or subordination indicated above. <br />Revenue Agent 10/01/2009 <br />Title ~ ~ "'~ Date <br />Revenue Su ervisor <br />Title <br />308 632-1200 <br />Telephone Number <br />10/01 /2009 <br />Date <br />4 232.68 Rev. 8~6 Suparaad®a 4-23269 Rav. 10-95 <br /> <br />