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12/29/2010 WED 14:23 FAX 402 471 4429 UCC SECRETP,1tX OF 5TAT8 ��y Ha11 <br />, ~ <br />i�twbraskr aparls+n�rrt nd <br />#�E'�'E�11�E <br />.�,�,�. �.,..�V..„�,.�.�,,. <br />unty <br />r���•r►r•s <br />Pursuant to the revenue laws of the State ot Nebwaska, notice Is hereby <br />given that the State Tax Lien which has been duly flled by the Nebraska <br />Depar�ment of Revenu� against th� belaw-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Identification Numbar IFederal Identi�cation Number <br />10190058 <br />Lisn Serial Numbar Lien filed wifh <br />110�48906 �Register of Deeds �County Clerk <br />BUSIN�SS NAM� ANp LpCATION ADpRESS <br />Business Name <br />,addreSs <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br />Security Number <br />xxx-�c-2618 <br />�ate <br />11116/2�10 1 21 Hall <br />7AXPAY�R NAAM� AND MAILING AqDRES$ <br />Name <br />Pablo Z Lucero <br />Street or Mailing Address <br />101$ E 4th 5t <br />City State Zip Code City State <br />Grand island NE <br />Type o►Action <br />Q TERMINATION OP 1'AX LIEN. The State Tax Uen is hareby fully terminaked. UCC Instrument Number <br />�OQ2/003 <br />68801 <br />991 Q643669-1 <br />County Instrument Number 201008750 <br />TAX PERIOD3 (S}�l 1/10-3l10; 1/D9-3/10 �wk) <br />� PARTIAI. RELFr45E. 7he State Tax Lien Is partiatly raleased as follows: UCC Instrument Number <br />Counry Instrument Number <br />7'AX P�i210D5 <br />� BUBDRDINATION. 1'he State Tax l,ien is subordinated as follows. UCC Instrument Number <br />County Inatrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws nf the State of Nebraska in <br />determination of the termination, partial release, or subardination indicated above. <br />$�9n Revenue SrAgent 12/28/2010 402 471-5727 <br />here repar Signature Title Date Telephons Number <br />Revenue SrAgent 12/28/201D <br />uthorized Signature 7'itl� � ���� ���� � � Date <br />4•232�58 Rev. 8-96 5uparsgdgs 4-232�8 Rav. 10�85 <br />201U0983G <br />pF Eac vi Slsko John A 6a1a - �CC TE9 <br />9930846723�0 P9sa 1 <br />GUC�RO PABLO Z <br />F11�d: 12/�J/2010 08:45 WMI <br />