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� V <br /> � � � .. °O � �* CO rn <br /> � g . ; �.: � � � � <br /> � � `:,,�.. �;:,.. � � � --+ m � � <br /> �� � . , � -t �, � . <br /> "t � � !,-,+ e� _�� `��. <br /> � ° ' \�. <br /> `+7 t:''. , ti,, � -T, �-,,, y,...s �, <br /> . � y\ �°+ '° '�\ � ��' G5 � <br /> � p'� }R* l7J <br /> r��� 11 a1 �e.s � �— ;.'.1 N <br /> \ �`!� \� t"i ��'P.� � r� k� W � <br /> � � `;\ f.,,a , � C�J � <br /> � �� n t--� m � � <br /> � � � �� <br /> �tv �� � � � � Z <br /> � <br /> � �t o <br /> State Tax Lien Statement of Termination <br /> � �� or Certificate of Partial Release or <br /> n�braska "� <br /> ���.�t Subordination <br /> — <br /> of nveaua <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 terminated, <br /> partially released,or subordinated to the extent indicated below. <br /> Nebraska Identification Number Tax Category Social Sec�rity or Federal I.D.Number Spouse's Social Security Number <br /> Lien Serial Number Lien Filed With Date of Lien County <br /> 8/0 3/3 2 5 �Register of Deeds �County C�erk 3-2 0-9 8 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name. <br /> JAMES F & LIPdDA TfiOMPSON <br /> Street Address Street or Other Mailing Address <br /> PO BOX 266 <br /> City State Zip Code City State Zp Code i <br /> ALDA NE 68810 ! <br /> I <br /> TYPE OF ACTION <br /> I <br /> �TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. INSTRUMENT NUMBER 9�3-1026 6 3 <br /> TAX YEARS (corporate, Individual income, and withholding tax only) 19 9 7 <br /> ❑PARTIAL RELEASE. The State Tax Lien is partially released as follows. INSTRUMENT NUMBER I <br /> TAX YEARS (corporate, individual income, and withholding tax only) <br /> ❑SUBORDINATION. The State Tax Lien is subordinated as follows. INSTRUMENT NUMBER <br /> � � i <br /> I <br /> Name of party making request and responsible for filing certificate of partial release or subordination with appropriate filing officer. <br /> I hereby certity that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br /> terminatio ,partial relea ,or subo ination indicated above. , <br /> sign � '�/4� �30�3�5-�07� <br /> here Prepar 's ignature e Date TelephoneNo. <br /> � ' y � <br /> �� Authoriz S tu � Title Date <br /> NEBRAS ,DEPARTME OF REVENUE-White and Canary Copies TAXPAYER-Pink Copy COUNTY OFFICE-Goldenrod Copy <br /> 4232-68 Rev.&96 Supersedes 4-232-68 Rev.10-95 <br />