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04/27/2D10 TUE 9:39 FAX 402 471 4429 UCC SECRETARY pF STATE ~yy Hell <br /> <br />201oo27s5 <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Bax 1500 <br />Scottsbluff, NE 69363-1500 <br />?4YSYr~skd iarpl~rlrn~eln b[ <br />~~ <br />WN4W.l'~rrVihaLr. ~w.~eY <br />Ia1002/003 <br />Ni Sac of S~~ke Jehn q Azle - ucc T09 <br />gs~eszaas~-e pHs, z <br />FtledeN04~232q~e 03:17 pM <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <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 the below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Ident~cation Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />20773439 XXX-XX-7537 XXX-XX-9671 <br />Lien Serial Number Lien filed with Date of Lien Tax Category Gounty <br />80810067 ^X Register of Deeds County Clerk 07/08/2009 22 Hall <br />BUSINESS NAME A ND LOCATIDN ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Norman L & Penny P Whitten Jr <br />Street Address Street or Mailing Address <br /> 912 W 5th Street <br />City State Zip Code City State Zip Cade <br /> Grand Island NE 68801 <br /> Type of Actfon <br />[]X TERMINATIDN DP TAX LIEN. The State Tax Llen is hereby fully terminated. UCC Instrument Number 99096015103 <br /> County Instrument Number 200905233 <br />TAX YE,4R5 (corporate, individual income, and withholding tax only) 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 />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br /> County Instrument Number <br /> <br /> <br /> <br /> <br />I he verb that th ebraska Department of Revenue has comp ie wit the revenue laws of the State Nebraska in <br />determi on oft a to lion partial release, or subordination indicated above. <br />sign Revenue Agent 04/20/2010 308 632-1200 <br />klert' Prepa S' furs Title Date Telephone Number <br /> Revenue Su ervisar 04/20/2010 <br />A ed Si re Title. pat® <br /> 4-2328 Rev, 8-96 Suporsidaa 4.232$9 Rev.10~96 <br />