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07/30/2010 lPR2 14:53 FAX 402 471 4429 UCC SECRETARY OF STAT13 y~~ Hall <br />og <br />Please forward to: <br />Nebraska Department of Revenue <br />45D0 Ave I PO Box 150D <br />Scottsbluff, NE 69363-1500 <br />201005323 <br />X002/002 <br />N@ SPtl er 51P~o lobo R Gd• uC[ TY9 <br />ss3®B33a51-s Pgs: 1 <br />GAIiLICK DANIAL J <br />Fl led; 07!30/2010 09:41 AM <br />~febeaskatle~r-lrnernW State Tax Lien Statement of Termination or <br />i~E1fE~l~E Certificate of Partial Release or <br />W Vir.a~tkiFn4w, n6.yi~V <br />Subordination <br />Do <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 Nebreska <br />Department of Revenue against the below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />3ssoo232 <br />Lien Serial Number <br />10933468 Lten filed with Register of Deeds <br />BUSINESS NAME AND LDCATION ADDRESS <br />XXX-XX-2213 <br />ate of Lien Tax Category County <br />12/08/2009 22 HAIL <br />TAXPAYER NAME AND MAILING ADDRESS <br />DANIAL J GARLICK <br />105 MULBERRY PO BOX 308 <br />ALDA NE 68810 <br />Type of Action <br />®TERMINATION OF TAX LIEN. The State lax Lien is hereby fully terminated. UCC Instrument Nu er 99096139547 <br />TAX YEARS 2005 County Instrument Numbrar 200809729 <br />(corporate, individual Income, and withholding tax anty) Continuance: UCC Instrument Number ~" '" <br />Continuance: County Int:trumertt Number <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />TAX YEARS County Instrument Number <br />(corporate, individual income, and witt-holding taz only) <br />5Ut30RDINATIDN. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number "' '~ <br />...., ...~, u.- ,.w v ~~,,4~ ~~~o~~~ ~+~ r~cvniiua neb wmpnt:a wtm me revenue taws or the state of Nebraska in <br />date lion of the ermine arti I release, or suboMinetian indicated above. <br />Sign Revenue ant 07/28/2010 L3~632-1206 <br />here Prep i lure Title Date Telephati u <br />Au orized S rc <br />the pat <br />~234~8 Rev. &96 SupPRedPS ~-79 9 Rw, ta95 <br /> <br />