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State of Nebraska ) fI~.E~ 1i1 COUNTY GlER#S'S i3fflCE <br />) ss I#A!! COUN3Y, NEBRt~(A <br />county of ~~ ) f.4AR~tEN.AU~Ii.D,COUtFiYCLERK <br />~. STATE OF NEBRASKA ~~QV ~ t <br />~~~ V ~ ~ ~ t7 Q ~ COI2PORATIOPJ DZVZS ZON 7yg~g~~„~i~~l~^,y3~~~5;6 <br />AZZen J. Beermann Suite 2 State Capitol <br />Secretary of State Lincoln, Nebraska 63509 <br />Release of Lien <br />Submit in Duplicate <br />Z~ J' X3'3' being a former <br />affy~er nf_o~an~ind~ivi~dual with a Zsgi.*_imate interest in <br />3~.'~ss i~2~ u7ass~ Islanci* PtebP. <br />Name of Corporation Address of Corporation <br />do hereby certify that this corporation desires to cease or has ceased <br />doing business as a corporataon.in the State of Nebraska. (AS a former <br />officer of the corporation I further state that this corporation has <br />nn intentions of reviving said corporation but desires to pay all <br />occ~2pation tas and penalties due to the State of Nebraska.) <br />g`ite original of this document now becomes an official document to <br />be-fiZ,ed in the office of Secretary of State showing a1Z corporate tas <br />and, penalties as being paid far the purpose of releasing the state tax <br />lien filed against said corporation as provided by law for the year <br />~-' *. *This document does not constitute a .revival of said cor- <br />g©ra.b':a n . <br />Signature of farmer President or Vice President and Secretary ar <br />Treasurer, or an individual having a Legitimate interest. <br />Signature of resident ors Signature of Secretary or <br />Vice President Treasurer <br />Signature of Individual with <br />legitimate interest <br />Subscribed and sworn to before n:e than ~.?„y of 1° <br />eEaee+u eeTesr-cwea~l*aweYe i---y <br />,T ~~ <br />I~Ao J~uic.EtiE M. PoJ i ~, ~ ~ ~ <br />came.6o.,iw 1A tsot _ '•_ ~'~~~r.~ / ~'~`. ~. _%'Y`~-~-¢-~..-:~.-' <br />SEAL ~.... Notary Public <br />1This section to be completed by Secretary of State) <br />The former corpora tioa officer or individual with a legitimate <br />interest is rey-aired to file this documar.t or ca reof with both <br />the County Clerk and Register of Deeds i.n County, <br />Nebraska for the releasing of any and a21 occupat,i~o a Zi <br />p~»alties filed against snid corporation by the .S~teoek3 fir <br />the: / ~ ~ "'~~~....ddd <br />R Year j ~~~f ,,~y <br />Tax r rl ~~? r r~ . `- Qt~Z `I i ~Qft~l <br />,,..~, - - ... ,. Penalty f ' ~ v ''~ `I '-'- --- --8F e7l~i'IC• <br />_ „~ - Total ~ ~~'~ - - <br />- `-Y <br />Il~-xTES2'-:d'1t019'3`~~*3~€JI-E32£OF, the Secreta__r~ o€ statA ~F _n_~~t,ras~a t,~~ <br />°~ he,raby.~'~i,y,~d his sig to a or facsiuuuuuu~~~~~~,,,,,,1 t-ereaf and s a1,~as filed <br />'~~ a;7d ~~~~ ,t?zts F~1~ day of ~~:.t~s:.-~• i9 C' <br />~ ~~ <br />~ _ ~" • - f <br />,~ ~ 1 ~ ~.v, n c r?~,y,v :ZJr+w+3 <br />,:-~~`E°'. .Se- e'tary of State <br />,L~. - <br />fi <br />- •*'+-s ~[.~=-rrygpxW'nat car~stir,~;te s reczva~ 3t sa;fa coz°pr~ra.scan. <br />N[ST PG~~r'~G`A ~R'~L«1'ia'"E f3F :.TENS JNLESS ~EG`JP,:"IC{:~ 'rATA IS :'F'#FLi.'£EI? A.'!D <br />S?`ATE s~s~t1€~-'#`~tFR&SSEA. <br />~cst~ rT-3e <br />