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Q7/26/2011 TUE 14:05 FAX 402 471 4429 IICC SECRL+TARY OF STATE ~~~ 8all <br />i .- �• r <br />.i: �'�; <br />f �'} h : �wJ:. <br />: y;' :.� <br />�,:.; .. <br />,::�; . <br />r�,' <br />:��_ ' <br />•;�i.; _.�. <br />�o�.�.o5�g� <br />�j005/OQ5 <br />CAROLE L <br />07/28/2011 i1:36 RM <br />��� State Tax Lien Statement of Termination or <br />'�E Certificafie of Partial Release or <br />,��.�,,.a�.+.e.,��, <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska� notice is hereby <br />given tl�at the State Tax Lien which has been duty 81ed by the Nebraska <br />Departmeirt of Revenue against the below-named taxpayer, is <br />terminabd� parttally released, or subordinated to the exter�t indicated <br />betow. <br />11610905 <br />040510031 �Lien flied with Register oF Deeds <br />BUSINESS NAME AND LOCATION ADDRESS <br />XXX-XX-301 � <br />08/01/2004 I aa , ( HALL <br />TAXPAYER NAME AND MAIL.tNG ADDRESS <br />JERRY L DENTON <br />CAROLE L DENTON <br />205 S CEDAR <br />GRAND ISLAND 1VE fi8801 <br />Type oi Action <br />;U' <br />F �.. r, : <br />� TERININATION �F TAX LlEN. The Stata Tax Lien {s hereby ful{y terminat�. UCC InsWment Numb��er 9�093A&12A <br />TAX YEARS 2� County Instrument Numb�er 200406853 <br />(corporate, individual income, and xrithholding tax on{y) Co�inuance: 11CC {natrument Number 89116538874-04 <br />Coc�tinuance: County Instrumant Number 2071U2038 <br />� PARTIAI. RELEASE. The State Tax Lien is partielty re(eased as foUows: UCC Instrument Number <br />TAX YEARS County lnstrumertt Number <br />{corporate, individual tncome, and wtthholding tax only) <br />� SUBORDINATION. The 5tate T�c Lien is subortiineted as fallaxs. UCC InstrumeM Number <br />Gounty Instrument Numbar <br />I hereby certlfy that Nebraska Department of Revenue has oomplied anih the tevenue laws of the State of Nebraska in <br />determinatian of the terminatian, partial release, or suborcfination ind�cated above. <br />sign RevenueAgent ?-a/ �41/ (402)471-5731 <br />here �� 's i � j ,�� � �� Telep 2 ber <br />V � <br />Authorize Signature Title � '" <br />A•232�8 Re+r. &98 Supersedea 4232-69 Rev.10.85 <br />� <br />