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03/23/2010 TI7E 14:28 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha11 X002/003 <br />~~ <br />we sec or s±•~ ; ~~nn~ ~u nx W111 X1111111 <br />Please forward to: ~--~I~~1~~-1-~I1~-~~Ill~~~~~1~~~~1~~~llh~~~ <br />Nebraska Department of Revenue 2 ~ 1 ~ ~ 191 ~ <br />4500 Ave l PO Box 1500 a~ieezzaas-e ~ <br />Fl lad: 03/23/2010 10:08 AM <br />Scottsbluff, NE 69363-1500 K1sT~R aoNrl A <br />~~~,~*k,~~,~,,~,$~~ State Tax Lien Statement of Termination or <br />1~E1>~EE Certificate of Partial Release or <br />°w~wrr.rrr raKxr.r.r.gwv <br />Subordination <br />DO NOT WRITE IN THIS <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 thQ below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent tndlcated <br />below. <br />Nebraska ldentifcation Number federal Identification Number Social Security Number Spouse's Social Security Number <br />38955180 XXX-XX-0303 <br />Lien 5erlal Number Lien fiksd with Date of Lien lax Category County <br />90090437 ^X Register of Deeds ~Gounty Clerk o9ro4/2aos 22 WALL <br />BUSINESS NAME A ND LOGATION ADDRESS TAXPAYER NAME ANp MAILING ADDRESS <br />Business Name Name <br /> JOHN A & TRACY D KISTLER <br />Street Address ~ Street or Mailing Address <br /> PO BOX 1244 <br />City State Zip Code City State Zlp Coda <br /> GRAND ISLAND NE 68802 <br /> Type of Action <br />© TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number ~ 99096065728 ~_ <br />County Instrument Number 200907373 <br />TAX YEARS (corporate, individual income, and withholding tax only) '200ti, 2007 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC.Instrument Number <br />.county Inatrument.Number <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />e. <br />nereuy cernry [na[ [ e rve0ra5Ka Ueparunen[ oT Kev@nUe naS COmplleq WI[n [ne reVenUe taW3 OT [ne 5[a[e oT IVBpraSKa In <br />em7inatl of the to ;nation, partial release, or subordination indicated above. ` <br />sigh F ~j S~S.L ~ ~ \1 a 308 632-1200 <br />here Preparer's Sign lure Tilde Date Talep ne Number <br />Revenue Senior A ent <br />Authorized ignature Title Date <br />4 2324;8 Rev. 8q~6 SuparsCdes q-232439 Rev. 10-95 <br />