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- -: BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Etusiness Name _ Name <br />Samuel L Mehrin <br />Stresf Addtit street or other Mailing Address <br />861 10th Street" 1427 Newcastle <br />'City State ZIP Code City State ZIP Code <br />'Stanton, NE 68779 1 Grand Island, NE 68801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />which has been duly filed against the above named taxpayer, is discharged, partially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />❑ DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />PARTIAL RELEASE. The Notice of State Tax lien is released as follows. <br />Lot Seven (7), in Block Three (3) in Bel -Air Addition to the City of Grand Island. Hail <br />County, Nebraska. <br />❑ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />I hereby certify that the Nebraska Department of Revenue Ills compiled with the revenue caws of the State of Nebraska in the dater- <br />.. mination O discharge, partial re leas r Su rdlna lion indicatetl above. <br />'Sign Special Agent 6 -10 -86 <br />'L Prepare . ure Title Date <br />___ Special Agent 6 -10 -86 <br />�E. Authorized Si •ure Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy <br />a- 232 -68 Rev. 1 -81 <br />5upersedes a- 232.68 Rev. 549 <br />Notice of State Tax Lien <br />Discharge, Release, or Subordination <br />fewnue t <br />• ROW h11VYU{.11. nn ►wares e«de <br />-Ulan Sena /Nurnber <br />release Serial Numbk <br />Date of Hon <br />Social Security Nssmttar <br />O/r< -- �.�.08 <br />(�o <br />/454 <br />9349: <br />5 -9 -83 <br />507 -54 -4768 <br />I c, <br /><Nebraskn'I:D: Number=: <br />County <br />- <br />Lien Filed With.. <br />spouse's Social security <br />Reg ister of theds <br />Num!»r. <br />!l <br />u� <br />1101 <br />.. <br />County Clark- <br />- -: BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Etusiness Name _ Name <br />Samuel L Mehrin <br />Stresf Addtit street or other Mailing Address <br />861 10th Street" 1427 Newcastle <br />'City State ZIP Code City State ZIP Code <br />'Stanton, NE 68779 1 Grand Island, NE 68801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />which has been duly filed against the above named taxpayer, is discharged, partially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />❑ DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />PARTIAL RELEASE. The Notice of State Tax lien is released as follows. <br />Lot Seven (7), in Block Three (3) in Bel -Air Addition to the City of Grand Island. Hail <br />County, Nebraska. <br />❑ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />I hereby certify that the Nebraska Department of Revenue Ills compiled with the revenue caws of the State of Nebraska in the dater- <br />.. mination O discharge, partial re leas r Su rdlna lion indicatetl above. <br />'Sign Special Agent 6 -10 -86 <br />'L Prepare . ure Title Date <br />___ Special Agent 6 -10 -86 <br />�E. Authorized Si •ure Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY OFFICE — Goldenrod Copy <br />a- 232 -68 Rev. 1 -81 <br />5upersedes a- 232.68 Rev. 549 <br />