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<br /> � � State Tax LEon St�tement o4 Terminatlon
<br /> x �� or Certtflcate ot Partlal Releaso or _
<br /> " ^�� Subordfnatlon
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<br /> PLEAI3E DO NOT WRITE IN TMlB SPACE R-
<br /> � e tafe o�Tiebras no41c..ts hcr�by
<br /> pursuant to the revenue laws of th S ka,
<br /> glveo Wat t6e State Tpx I1en whk6 has been duly Qled by the Nebraska
<br /> Departntent of Revenue agalnst the below-named taxpsyer,Is tenatnated,
<br /> . ` pardally relensed,or subord[nated to t6e extent Indlcated below. �
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<br /> Natxaska Idw�4flcalan NunDer Tax Catsgory Saclal 6eariry or Federe�I.D.Number Spouse's Sodal Secunty Number
<br /> ,� � 35977515 22 505-78-8940
<br /> � Llen Serlal Number Uen Flled Wi�h Date ot Uen ��Y
<br /> , 950690G22 �Reg�sterotoeed�[JCoumyaenc 03-10-95 HALL
<br /> RuslNESS NAAAE AND LOCATION A�DRES9 TAXPAYER NAIIAE AND AAAILINO AQDRESS
<br /> . �Buslnesa Nams Name
<br /> PAMELP, R WOOAWARD
<br /> Straet Addraa so-eet a Other Mailing/WGreq
<br /> • 30'1 SOUTH KTMBALL
<br /> Gry SC�te ZP Code CIry State DO�
<br /> ' GRAND ISLAND NE 68801
<br /> --=,��;�:s�:�+r TYPE OF ACTION �
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<br /> __:��:,,,.,T (�TERMINAI'ION OF TAX UEN. 'Ru State Tax Lien is hereby fully temtinated. ��91
<br /> 95-104206
<br /> _ .,ti�� INSTRUIWENT NlJMBER TAX YEARS(corporets snd IndWtdual Incoms tex on
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<br /> -;:;a,,,a,,� ❑PARTIAL RELFASE. '[he State Tax Llen is partially teleased as follows.
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<br /> ��;ti�� INSTRUMEN�J NUMBER��TAX YEAiiS(corporat�and tndivldu�l Irscame tex only)
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<br /> ❑SUBQRDINATION. 71tc State Tex Uen is subordineted as follows.
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<br /> �-�•m-,'�.�� Name M pahy making request arW reaponalMO for Ning certlalicate ot parual release or suDOrAlnaUOn with eppopn�te filug ct6ar. �",• _
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<br /> " • I hereb that the Nehraska Department ot Reven has compued wlth the revonue law�otme State W NeDraske h the OetertNnatbn of C�e -
<br /> - t tYFees 6ubOtdl Indicated BbOnre.
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<br /> � NEBRAS DHPA NT OF R NUE•Whtte and Canary CoPles TAXPAYER-Pink Copy CAUNIY OFFICH•Goldentod Copy y
<br />. . 47J2�66 Rw.10.95 F,upwaeWt 423P�69 Rw.6-93 ---.
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