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��� ; � <br /> `� � �, 1 °o o f+ �.� <br />� � � � , ... � �_ x � ,� <br /> ,..,:� � � -� � c ---+ � <br /> c\ , � , ' �...... '' �� �, --{ ►�' GO � <br /> ,,, �y; _.� .,..� ,> �; -� �, ' •:�. <br /> r,, , °.: ) ". � � ��. • � "'� v <br /> ���.� �;��` �° , ., �7 -t i .� <br /> �� � - � `, ) _�' � 1--+ � <br /> \ rMy J � �� � <br /> �� � <br /> ` � ��' . , `�'� � I� YYl � r� <br /> r r�\v F�� t-- 'r r <br /> `'=j -i ;\V �— A W � <br /> 'C��� � �: t� � �-' � <br /> C� � �� � ._..� o� �- <br /> C,�� — ��.�a318� � � � f <br /> 98 <br /> � State Tax Lien Statement of Termination <br /> �Iror Certificate of Partial Release or � <br /> nebnska <br /> °�P�^�•^� Subordination <br /> of 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 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 indicated below. <br /> Nebraska Identification Number Tax Category Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 31035787 22 501-a2-9457 502-86-2945 <br /> Lien Serial Number Lien Filed With Date oi Lien County <br /> Register of Deeds �County Clerk 12—1 J—9 3 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING AODRESS <br /> Business Name Name <br /> PNA E ZIEGL�R <br /> Street Address Street or Other Mailing Address <br /> 4TH STR�ET S APT 302 <br /> City State Z.ip Code City State Zp Code <br /> 1 <br /> TYPE OF ACTION <br /> �TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9 3-110 918 <br /> TAX YEARS (corporate, individual income, and withholding tax only) 19 8 8 & 19 3 9 <br /> ❑PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER <br /> TAX YEARS (corporate, individual income, and wlthholding 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 /> sign .� ,� ���2�, - -�.�� -- - — ��c-�,.�;�s ���;�� <br /> here Prep 'sSi tur T�I Dat T�I�p oneNo. <br /> 4c. <br /> Q�� th ized ignatu e Date <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&96 Supersedes 4-232•68 Rev.7 0-95 <br />