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04/21/2010 WED 14:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~y~ Ha11 <br /> <br />2oioo2ss4 <br />Please Return Ta: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br />X008/008 <br />R9' Sqt of 9t9te Jahn a bale .UCC <br />T09 <br />9810625113-2 py~, 1 <br />F~ledE~04%2M%20p0L10:13 RM <br />~idrx.~r~a~.~~.n~„,mod State Tax Lien Statement of Termination or <br />RE'N'EE Certificate of Partial Release or <br />'wArrls,~' •V t h4t1Y.~x W,,yb'V <br />Subordination <br />PLEASE'DO NOT WRITE IN THIS SPACE <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, lar subordinated to the extent indicated <br />below. <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />16917458 XXX-XX-3264 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />972620045 ^X Register of Deeds County Clerk 07/01/1997 22 Hall <br />BUSINESS NAME A ND LOCATIQN ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> MICHAEL B CZAPLEWSKI <br />Street Address Street or Mailing Address <br /> 16869 READ ROAD <br />City Slate Zip Code City State Zip Code <br /> HONEY CREEK IOWA 51542 <br /> Type of Action " <br />^X TERMINATIQN Ot= TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Numb~C(~ j'L~r ~1~~ <br />- County Instrument Number 200905407 <br />TAX YEARS (corporate, individual income, and withholding tax only) 1896 <br />PARTIAL RELEASE. The State Tax Llen is partially released as follows: UCC Instrument Number <br />TAX YFJ~RS (corporate, individual income, and withholding tax only) <br />County Instrument Number <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue taws of the State of Nebraska in <br />determination of the termination, partial release, ar subordination indicated above. <br />sign 8rid et Martin TSS a 04/05/2010 3p8 632-1200 <br />here ~ er ~~ Title Date Telephone Number <br />Revenue Su ervisar 04/05!2010 <br />oriz Sign ure Title Date <br />4-23269 Rev. 8-96 Supersedes 4-23268 Rev. 10.95 <br />