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r ~ <br />€ _ <br />~ Motice of State Tax ILien <br />nebraska i:9ischarge, Release, er Subordination <br />~~partment • peed iletruttions on reyase side <br />! r <br />l.-~~_ <br />tausMeu Name <br />Street Address <br />rjty State Zia Cotle I City State Ztp coos <br />Aida NE 68810 <br />Pursuant to the revenue laws of ehe State of Nebraska, notice is hereby given that the Notice o; State Tax Laen <br />which has been duly filed against the above named taxpayer, is dischazged, partially released, or suborduated to the <br />extent indicated below. <br />TYPE OF ACTION j <br />~ DISCHARGE TAX tiEN. The Notice of State Tax Lien is hereby fully discharged. <br />^ PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />Lam. SUBOR[31NATED. The Notix of State Tax Lien is subordinated as follows. <br />` f hardly CeRtfy L:ut the Nebraska Depart^ent of Revenue has tomDtigl with the revenue {aws or the State of Nebraska in tfie tleter- <br />miNtien ot! axtsarge, f>arf V l alai t'on inoiratetl above. <br />~.r>.re...~., ~:i'L' ~ 4°- ritt< Spee3al Anent D026/21/79 <br />NEBRAStCA DEPARTMENT OF REV ENUE - +Nhite and Canary Copies TgXPAY ER -Pink Copy COUNTY OFFICE - GotdenrW Copy <br />4-23268 Rav. 5-78 <br />Superseoa 4-2326a Rev. 5-14 <br /> <br />Uan Serial Numb<r Release Serial Number Date of Lien SocWi Security Number <br />79~ ~ZIQ ~ ~ 4 <br />8112/859 1917 12/lk/78 506-SS-8168 <br />Nebraska I.D. NunWar County Uen Flied With SpDUSe's Social SecufltY <br /> - ~ Register of Oeetls Number <br />12981710 Ball county Clerk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND <br />Name <br />Ruth Glark <br />Street w Otner haalling AdtlresS <br />305 North Lane <br /> <br /> <br />