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Notice of State Tax Lien <br />~~nearaska Discharge, Release, or Subordination <br />department • Raad irstrunions on revr. ae sidr <br />of revenue <br />Lien Ser lal Number Release Sertat Number Dale of Lien iCjOC1aI Security Number <br />~Q <br />~ <br />9/11/812 3470 11-14-79 ~ 508-70-9583 +r' <br />'~~~ <br />Nebraska i, D. NurttDel County Lien Filed Witn Spouse's Social Security <br />®(Registet o1 Deatls I Number <br />3354458 Hall ~ ~ cpamv aar« L <br />BUSINE SS NAME ANO LOCA TION ADDRESS ~- TAXPAYER NAME AND MAILINu ADDRESS <br />Business Name <br />Derb Retail i Name <br />Beckv <br />Autry <br />Street Andress Street or O(h er Malling Atldress <br />1135 South Locust i P.O. Box 525 <br />City State Zip Code City State zip Coae <br />Grand Island, Ne. 68801, _ Siloam Springs, Ark. 72761 <br />Pursuant to the revenue laws of the Stale 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 discharged, partially released. or subordinated to [he <br />extent indicated below. <br />TYPE OF ACTION _~ <br />®(DISCHARGE TAX LIEN. The Notice of State Tax Lten is hereby tuLy dischar*zed. <br />PARTIAL RELEASE. The Notice of Stara Tax Lien is released as fo!iows. <br />~~ SUBORDINATED. The Notice of State Tax L(en Is>ubordmateci .:> i~~!lows. <br />Special A-ent ___- <br />„t~e <br />6123/.8!1 _ <br />~~te <br />NE$RASKA -EPARTMENT O'r REYEN UE - White and Canary Cop+es <br /> <br />TAXPAYER-P:nt<CoDV C6UNTV JFFICE-iipldenroo Copy <br /> <br />~23%-6c Her ~'8 <br />Supersanas a-~eiwa Rav. ;-~s <br /> <br />i hereby Cetv.fy Lnat the Nebraska Dapartment p' Revenue has COmplie0 with !hf revenue ~2vn >+ the Stn to !!r Nebraswd ~n !ne tleter- <br />_ _ __ mindt~bn of StlEtllSCndrge. partidl release Sy ,suDOtyindLrGn indtca led above. <br />