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~~ Notice of State Tax Lien <br />IteDraska Discharge, Release, or Subordination <br />department <br />~ravenue • Road irstrixttions on reverse side <br />Lien Serial Number Release Serial Number Date of Lfen Social Security Number <br />9 3 1 8 ~~° Ul1$74~ <br />Nebraska I.O. NYRmR County Lien Flletl Wlth Spouse's Soctal Security <br /> g] Register of Deeds Number <br />Q ~ hall ~ County Clerk <br />OVJIL11Gasl IYAMC AMU LIJt:A I IUN AUVMG`uA" TAXPAYER NAME AND MAILING ADDRESS <br />BYfiness Name ~+~.~., Name t~~~ <br />FY>~i2C~$ i+++. r.~ut-[at..l>'31 ~ylJCW 1?L't7C~1~'t~S' CQY'CX)T'at3021 <br />Street Mdress Street or Other Melling Atltlress <br />2809 Fast Hi 30 <br />City State ZIp Code Clty State ZIp Code <br />C:Y3nd Tsla,v3 ice: 68801 (~artA Tal nt9 NE 6R801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />which has been duly filed against the above named taxpayer, is dischazged, partially released, or subordinated to the <br />extant indicated below. <br />TYPE OF ACTION <br />~i DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged <br />^ PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />^ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />1 hereby Gutify that the Nebraska Dapifime of Re enue has Complied with the revenue laws Of the State Of Nebraska in the tleter- <br />~~~ ttNMtion of the tl r parigl re se r s r ,net' indicatetl above. _ ~L (~ ~t-t,/~-ryrv <br />. ~ AYth/ ori~tl Sign Title ~~ ~ J t pate~t~y+• <br />OR COUNTY OFFICIAL'S USE <br />NE23ftASKA D~ARTMENT OF REVENUE -White and Canary Copies TAXPAYER -Pink Copy COUNTY OFFICE -Goldenrod Copy <br />4832£B Rar. 5-78 <br />Supersetles 4-232-68 Rev. 5-7b <br />u <br /> <br /> <br /> <br />