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02/11/2010 THU 14:38 FAX 402 471 4429 UCC SECRETARY OF STATE ~y~ Hall ~002/D03 <br /> <br />s91®8!9687-7'----.....••~ ~°pg$ ."' 1 <br />Please forward to: NEi.sON DENNIS <br />Nebraska Department of Revenue ri l.a; az/„~zs10 , ~ : og :art <br />4soo Aye ~ Po BoX lsoo 2 010 0 0 9 4 9 <br />Scottsbluff, NE 693ti3-1500 <br />~'~~~"-"~~ State Tax Lien Statement of Termination or <br />="iiNgrd~kar 671~da~lrnrbat ~o! <br />~E"'F~E Gertificate of Partial Release or <br />www.x++r• ha,;w.iwr.n+av <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice.is hereby <br />given that the State Tax Lien which has been dulq 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 />UCC Instrument Number <br />County Instrument Number <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />12007439 XXX-XX-9068 <br />Lien Serial Number Llen filed with Date of Lien Tax Category County <br />42540070 Register of Deeds County Clerk 12/16/2004 22 Hall <br />BUSINESS NAME A ND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRE55 <br />Buslness• Name Name <br /> Dennis Nelson <br />Street Address Street or Mailing Address <br /> 3579 N Hwy 281 <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br /> Type of Action <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SPACE <br />PARTIAL RELEASE. The State Tax Llen is partially released as follows: UCC Instrument Number 9043663191 <br />County Instrument Number 20041216 <br />TAX YEARS (corporate,lndlvidual income, and withholding tax only) 2002 <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />Partial release on property located at: Lot 2 Pulte 2nd Subdivision, City of Grand Island, Hall County NE. <br />of the termina~9(i, parjial release, or subordination indicated above. <br />sign <br />here <br />revenue <br />Revenue Agent 02/09/2010 <br />Title ~~~ Date <br />Revenue 5u ervisar <br />Title <br />308 632-1200 <br />Telephone Number <br />02/09/2010 <br />Date <br />4-23168 Rev. a-98 Supersedes A-232f9 Rev. 10.95 <br /> <br /> <br />