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08/05/2010 THU 14:12 FAX 402 471 4429 UCC S$CRETA1tY Of7 STATE ~~~ E~a11 <br />~' <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br />~oioo5~3~ <br />X004/005 <br />NE Sec ai 5~a~a John A 6alr - UC[ T09 <br />9910633964-5 Pas: 1 <br />90LilNOS O5MIN CHRIIEZ <br />Filed: 08!06/2010 12:45 PM <br />h~brsakr r]Qp.aHrnsnlat State Tax Lien Statement of Termination or <br />REVE~L~E Certificate of Partial Release or <br />.'!/ W Lp.a.Mrn.sr'. nbrYO.4 <br />Subordination <br />DO NOT WRITE IN THIS <br />Pursuant to the revenue laws oP the State of aYebraska, 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 />Identification <br />43165699 <br />Lien Serial Number <br />52300302 Lien tiled with Repistsr of Deeds <br />BUSINESS NAME~AND LOCATION ADDRESS <br />XXX-XX-0375 <br />Spouse's Soaal <br />ate or uen i ax category l;ounty <br />01 /01 /2007 HALL <br />TAXPAYER NAME AND MNLING ADDRESS <br />~s^'~~ r`t ~~~ ~tain~s <br />4505 19TH ST APT C1 ~ tot.~S l'~SS <br />COLUMBUS NE 68601 ~`~ ~~.~ ~~-`L~~ <br />~1~~~~~ ~t~ ~~~ol <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State lax Lien is hereby fully terminated. UCG Instrument Number 99074910573 <br />TAX YEARS 2003 County Instrument Number <br />200700484 <br />(corporate, individual income, and withholding tax.onty) Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />PARTIAL RELEASE. The State Tax Lien is partially released as fellows: UCC Instrumvrrt Number <br />TAX YEARS County Instrument Number <br />(corporate, individual incomr, and withholding tax only) <br />SUeORgINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br /> County Instrument Number <br />i rCU r[ Inar [ne ve0ra5K8 Uepanmen( OT Kevenlle nab romplletl wlin [he revenue laws Ol the State Or Nebraska In <br />in f he rtial release, or subordination indicated above. 1 ~ <br />51gr1 ~ Revenue A ent ~,.. ~ ~~~ 1 ~.) _~30~632-1200 <br />here azure Title qat Telephone Number ~~~ ~~ <br />_ ~ ~ l <br />orize lure itle - Dat <br />~-Z32~88 Rev. &96 5uperaedea 423$9 Rev. 1085 <br />L. <br />