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��\Y� � <br /> � V1 �, �„ .,. <br /> � ::� �-� <br /> , --� -'._ � rn <br /> � <br /> < . � � , � =� ==; pp � <br /> � . . �� � <br />� � �; _ � -� � ,: � �T; 1 �. <br />� �,�.' ('.�.' � , � � :s� u � <br /> � �� ::� � f=7 <br /> � � � =y )� C 7 � � <br /> � � _'� C, � � �- 1- t�V � <br /> f`� �(� i^�' ;� c� �,1 � <br /> � '"� �J � <br /> � � _ �u � <br /> � �� � r-r <br /> r ) � �'� O <br /> � <br /> �� State Tax Lien Statement of Termination <br /> MDnsla <br /> or Certificate of Partial Release or � <br /> °'P"4"'� Subordination <br /> a rw�nw � <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 61ed by the Ne6raska <br /> Department of Revenue against the below-named taxpayer,is terminated, <br /> partially released,or subordinated to the extent indicated below. <br /> Nebraska Identification Number Tax Category Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 39067068 22 482-23-8861 <br /> Lien Serial Number Lien Filed With Date of Lien Cp��, <br /> 9 7 213 010 3 �Register of Deeds �county c�erk 12_2 9_9 7 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> MARCO GARCIA <br /> Street Address Street or Other Mailing Address <br /> 122 F Y B <br /> CitY State Z.ip Code CitY State Zip Code <br /> SIO ITY IA 11 <br /> TYPE OF ACTION <br /> �]TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9�-1 p 0 4 R 7 <br /> TAX YEARS (corporate, individual income, and withholding tax only) 19 9 6 <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 paAy making request and responsible for filing certificate of partial release or subordination with appropriate filing otficer. <br /> I hereby certify 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 release,or subordination indicated above. <br /> sign _3 -as-9� c g� s - � <br /> here � �g�L���-' � te e h eN <br /> � p� o. <br /> � Au orized ignature T� � <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> a-zsz-se aev.aes suaersedes a-2s2_se Rev.�ass <br />