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� � � <br /> � tn c� cn <br /> OO {7 —i <br /> � � <br /> � :� � _�..�j r�rt �.rn <br /> � � � f�3 � � ��'D <br /> � ��� ; ��- tt7 �+i � H Q. <br /> n1� \\ rh� ; .� s�'.� S' rrt C]� <br /> ` ;,, �p � tn <br /> �,��� `\U � . � r � <br /> � "' t� 3 r' n N N <br /> � �� � cn .—r <br /> � � � � C <br /> � � <br /> 98— 1c�zss� �' "`" �' ° <br /> -� � ,,;� � <br /> � z <br /> � State Tax Lien Statement of Termination ° <br /> �Ir <br /> or Certificate of Partial Release or <br /> n�braska <br /> °'P'�"'"` Subordination � <br /> a.w.��. <br /> PLEASE DO NOT WRITE IN THIS SPACE �_ <br /> Pursuant to the revenue laws of the State of Nebraska,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 termtnated, <br /> partially released,or subordinated to the extent[ndicated below. <br /> Nebraska Idenrification Number Tax Category Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 36536369 22 534-11-7984 <br /> Lien Serial Number Lien Filed With Date of Lien County <br /> 9 712 2 0 2 51 �Register of Deeds ❑counry c�erk g_3 0—9 7 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> CARI��IELO C U I RE Z <br /> Street Address Street or Other Mailing Address <br /> MOBILE MANOR RR 4 APT 120 <br /> ��tY State Zip Code City State <br /> Zap Code <br /> GRAND IS AN NE 68801 <br /> TYPE OF ACTION <br /> �TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER q 7_1 n g�S ti <br /> TAX YEARS (corporate, individual Income, and withholding tax only) 19 9 3 & 19 9 4 <br /> ❑PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br /> TAX YEARS (corporate, Indivldual income, and withholding tax only) <br /> ❑SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br /> Name of party making request and responsible for filing certificate of partial release or subordination with appropriate filing officer. <br /> I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br /> termination,partial release,or subordination indicated above. <br /> 9 ' <br /> si n ` - � . ���_��� � =�_ � .3-�qg c:��s��r�D��l <br /> here ��� �s �9��8 <br /> e Telgp ne No. <br /> � Authorized Signature �e `� S�'���9Y <br /> Date -Y-� <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Canary opies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&96 Supersedes 4-232-68 Rev.10-95 <br />