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��. . - _ <br /> � � O�O F', � �.. `;� <br /> �� ; � � �� --t t;�-... ,�?'1' <br /> �`,� i� � '� � —'+ '^! 5,� i <br /> `W , - �.., � � <br /> `� i �1 � � -.� -� ;� <br /> -... <br /> � ' � , �► ; _' �, ;� :1 :.' <br /> Q, . � <br /> �� I � .:�E7 � �, � s G, �� N <br /> � ' \� ��' = tv � <br /> � �� ! , ' _' � � r �- c <br /> =�1��'V ° -�1 -�3� <br /> � `� �' �` _ ,�� � �- <br /> p � -� � c� z <br /> �� - o <br /> � State Tax Lien Statement of Termination <br /> �Ir <br /> or Certificate of Partial Release or <br /> MMa�Ra <br /> °'°'�"'"` Subordination � <br /> a..r«,�. <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> Pursuant to the revenue laws of t6e State of Nebraska,notice is hereby <br /> given that t6e State Tax Lien which has been duly filed by the Nebraska : , <br /> Department of Revenue against the below-named taxpayer,is terminated, <br /> partially released,or subordinated to the extent indlcated below. <br /> Nebraska Identification Number Tax Category Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 6374336 O1 50 — <br /> Lien Serial Number Lien Filed With Date of Lien ��my <br /> 5 12 3 4 9 �Register of Oeeds p co��,cy cien� <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> (RIFLIN) <br /> Street Address Street or Other Mailing Address <br /> GtY State Zip Code City State Zip Code <br /> TYPE OF ACTION <br /> �TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 95-1n85(14 <br /> TAX YEARS (corporate, Individual income, and withholding tax only) <br /> ❑PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br /> TAX YEARS (corporate, individual 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 certifiqte of partial release or subordination with appropriate filing oificer. <br /> I hereby certity that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the detertnination of the <br /> termination,partial rel e,or subordination indicated abov . <br /> sign - 3fa� �o�,3�x=�r�z3 <br /> here � a � T� Date TelephoneNo. <br /> `6C� Authoriz g tu rroe � 7 <br /> te <br /> NEBRASKA DEPAR ME OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&96 Superoedes 4232-68 Rev.10-95 <br />