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05/06/2010 THU 14:33 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha17. <br />t~ <br />Please forward to: <br />Nebraska pepartment of Revenue <br />4500 Ave I PO Bax 1500 <br />Scottsbluff, NE 69363-1500 <br />2oioo3oss <br />i~1002/004 <br />N8 Sea of 54N• John p dole -UCC T09 <br />9930626541-0 P9s: 1 <br />HpUSSERMANN CRTHLEEN <br />Filed: 05!06/2010 10:16 AM <br />~~bt~Kk~Y[7nparYm+bhtwdd State Tax Lien Statement of Termination or <br />'f~E"1~'E~'~IE Certificate of Partial Release or <br />~~ww-rrwaa»ar: rae.u~i <br />Subordination <br />IPLEASE 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 duty filed by the Nebraska <br />Department of Revenue against the below-Wanted taxpayer, is <br />terminated, partially released, ar subordinated to the extent indicated <br />below. <br />Nebraska Identificatian Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />34990860 XXX-XX-4361 XXX-XX-9561 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />12290080 [X Register of Deeds County Clerk 01/10/2003 22 Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Donald P & Cathleen Haussermann <br />Street Address Street or Mailing Address <br /> 4954 W Hwy 307 Box 25P <br />City State Zip Code City State Zip Code <br /> Aida N~ fi8810 <br /> Type of action <br />~]X TERMINATION OF TAX LIEN. The State Tax Llen is hereby fully terminated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual Income, and withholding tax only) 2000 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (carporate, individual income, and withholding tax only) <br />SUBDRDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereb rtify that the Ne ska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determine n of the t rmin i ,partial release, or subordination indicated above. <br />sign ~ Revenue Agent 05/04/2010 308 632-1200 <br />here P S' fiatur Title ~~ Date Telephone Numhar <br />Revenue Su ervisor 05/04/2010 <br />Au orize ig ure Title Date <br />4-232~i8 Rev. 8.96 Suparaedea 4-232{x9 Rev. 10-95 <br />9,32524473 <br />2DD300542 <br />