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03/08/2010 MON 14:54 FAX 402 471 4429 ^CC SECRETARY pF STATE y-+~ Hall <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />i 81 i WEST 2N° ST STE 460 <br />GRAND .[BLAND NE 68$03 <br />201001516 <br />@I005/011 <br />NE !ae of s4ele .~ahn q Gprs UtC 709 <br />9910621731.6 pga; 1 <br />F~iladCkp3 09E2010 06;42 AtA <br />;Klrb'ebkw:Di~rtIMMM:a! State Tax Lien Statement of Termination or <br />~E~E Certificate of Partial Release or <br />A'M w~nr.rrrrr nu r. rwi.gk~lf <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 duly 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 />PLE4SE DO NpT <br />rvearasica Idemification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />8141480 505-t34-2423 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />05/11/346 Register of Deeds County Clerk 11/03/2005 01 21 HALL <br />BUSINESS NAME AND LDCATIQN ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Beverly Meinecke <br />Street Address Street or Mailing Address <br />ti11 Howard Avenue <br />C8Y State Zip Code City State Zip Code <br />St Paul NE 688873 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UGC Instrument Number 99 4 1074-1 <br />County Instrument Number 200511105 <br />TAX YEARS (corporate, individual Income, and withholding tax only) 2004/2005 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />SUBpRDINATION. The State Tax Lien is subordinated as folows. UCC Instrument Number <br />County Instrument Number <br />I here y certify that the Nebras a pepartment o Revenue has implied with t e revenue laws o the fate of Ne raska rn <br />determi n o the to ination artial release, or subordination Indicated above. <br />sign Revenue Senior ~ ~ ~ 308 385-6073 <br />here Preparer+ ign ure Title ~~ ~~ ~ D to Td-e hone Number <br />~ Revenue Senior ent ~ ~ <br />Authanz Signature Title Date <br />4,2328 Rev.8-96 Supersedes 4-2329 Rev.10~95 <br />