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ADAMS COUNTY, NE
FILED
INST. N0. ~ 5 5
Date ~ -1 -0~ Time •~=~
~~ ~'
REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF _ ~ PAGES
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P1Las~ forward to:
:~iebraska Dept of Rey-enue
±t'l~ eve I FO i3o~c ] 5i:)~l
Scottsbluft;NE 6~3~'-iS~C3
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State Ta~c Liety Ste#erraenfi t~f Terrngnation ar
Certificate of Partial ~ceS~aae ~~r
Subardinatica'n
Purauan# to the revenue iaws of tt:e State of l+Jebrask~:, noti;.e is hereby
given that the State Tax l.i~n uvhiCtl has been duly flied by the Nebraska
i7epartmerlt of Reveint~e against the below named taxpayer, is
terminated, partially releasea., sir subordinated to the extant indicated
below.
iE Dt7 ldC7 i .It+ra; S c: ISV rugs- ~,,.., ~.
NE 5 of Stela John ~ ~ '~ JCC 1mB
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Nebraska Identificatlan Nu;r:cer
-~ s fdtral I~iarri°itatiun Number
- __ Social Security Numbe'r' -' Spouse`s Soci~i Security Ni1mhG,f
2125605
Lien Serial Nulnbcr ~ ~
tier Bien vrith XXX-)C:C-8788
Date of Lien Tax Gategury
County
7201t~20t3 ~ ,~'Registercf Deeds []County Gie~~k 11/2812007_ Adams
__
4
r !3t-ISII~ESS-NAME AND L.GIGAT'Gk ADDr2E5S TAxPAYE~I~ NAME AT1D M;i11LYNG AQ~ORE5S
Susinsss tJame Name
Galen i-I ~J'Jinkle~
_.._
Streei Address -____~ _._._Y.___~ --- gtreat a' rUailing Address
~ 74$0 N Roseiand avenue:
_
._
_
Gity ~ _
5tatri ~..~~~~ Zip Code city State v
Zip Cade
_._._. i Juniata iVE 68'J55
Type of Action
I
~ ~~ - -____~
® TERMINATION OF TAX LIEN. The State fax Lien is hereby fully `.alr,:inated• UCC Instrument Number (~~075'
County Instrument Number :~uU~'S255
TA7C YE.'ld~S (G:nrporaka, in=~Ividu:~l incomo, and ~.vifhhnld:ncJ tar, only) 2G^u5
PAR~ftAL i:e=~.:EAS@. Ttr State Tar. t_ien i> pzrtia.ily r=_i2ase:i as tollar.~s. UCC Instrument Number
County lns*.rumert Numt~er
l'ArC YEARS (corporate, srisiivr4ual income, and withholding ta:t :+nly)
SEJBORC1lNATlOF1, T f:e State Tax !ion is auooreiineted as follows. E1CC instrument Nurr~bor
County Instrument Number
~~`~T~~k. y ciertif~y £hat the N~6r~ska DecartmNnl of >-tavenue hes complied w~tlr the revenue 'aws of i'~e G!ate ~f NeblasT~z in ~~W
deteyfj~,finaGon of the. to , inaticr,~, aariial rei~ase, yr subor~iinatiun indicated above.
~ ~
&I~fi ~' ~' - ~~ . ~ .r.~/i ~te~ienue.~+ ent 0/08/2008
~E~re, ~ Pre r s ature i Tiile Date
~•__ -' ~~%~ ~ "% Gr Revenue Supervisor
30$ 632-1200
Telephone Number
04/08/2008 _
_..
Auth<:rized Siy . e '-'r Titie Date
4-232-6H Rev. 8 56 uuperser{~9 4~23~~,i ~:.w. '6~?5
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