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08/18/2010 wsn 15:12 FAX 402 471 4429 UCC $1>:CRBTA1tY OF STAmE yyy Hall <br /> <br />Please Return to: <br />Nebraska Department of Revenue 2 010 0 5 8 4 5 <br />4500 Ave I PO Box 150p <br />Scottsbluff, NE 69363-1500 <br />~J002/002 <br />NF i~c of ii~le Jahn P 6afe - OCC ~C9 <br />8910635020-7 Pgs: 1 <br />VONOHLEN RONR4D F <br />Filed: pB/18l20t0 09:26 pM <br />~"!~! kw~ ~ State Tax Lien Statement of Termination or <br />,RE1~Ew~I~E Certificate of Partial Release or <br />- Subordination <br />IN <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given tltat the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, it; <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Security Number <br />40431630 ~_~_7B83 <br />Lien Serial Number Date of Lien Tax Category County <br />63260062 Lien filed with Register of Deeds 06/17/2009 HALL <br />BUSINESS NAME AND LOCAtION ADDRESS TAXPAYER NAME AND MAILING ADDRI:55 <br />VONOHL~N/RONALD F <br />1911 S SYLVAN <br />GRAND ISLAND NE 68801 <br />Type of Action <br />® TERMINATION qF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Numbs q 09 ""~ <br />TAX YEARS 2004 County Instrument Number <br />(corporaU, individual income, and withholding tax only) Continuance: UCC Instrument Number <br />Continuance: County Instrumen Number <br />PARTIAL RELEASE, The State lax Lien is partally released as fellows: UCC Instrument Number <br />TAX YEARS County Instrument Number <br />(corporate, individual incam9, and withholding tax only) <br />SUBOROtNATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />~ i~ rimy u~ar uie; eo sxa ueparuneni ar Kevenue nos COmplleq wRn the revenue laws pt the State of Nebraska in <br />Bete - tier of 1 e tenni a ' n, pa "al release, ar subordination indicated above. <br />sign Reve A ent a Z (308)fi32-120G <br />here ~ a S' n Ti Date Telepho a Nu ' ' r <br />v <br />Au eel Sig T e Da <br />6282.89 Rev. &% SuPersed~~ 4.232.69 Rer. 10-95 <br /> <br />