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06/20/2012 wED 14:17 FAX 402 471 4429 UCC SECRETARY OF STATE �y� Hall <br />,^ r l <br />2012049g"� <br />.�..�. <br />�� �� ��� <br />���� <br />WYIYY`.R1Y�h�tp►. h1.+,Q�i�r <br />Soclal <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 <br />terminated� partially released, or subordinated to the extent indicated <br />below. <br />ientification Number <br />10710574 <br />11159657 I �Register of Daeds �County <br />BUSINESS NAME AND LOCATION ADDRESS <br />Ciry <br />State Tax Lien Statement of Termination or <br />Certificate of Partiai Retease or <br />Subordination <br />XXX-XX-4589 <br />08/04/2011 I 01 � Hali <br />TAXPAYER NAME AND MAIUNG ADORESS <br />BLANCA CARRASCO <br />treet or Mailing Address <br />319 ROUSH LANE <br />fty State <br />GRAND ISLAND NE <br />� Type of Ac tlon <br />�X TERMINATION OF TAX LIEN. The State Tax Lien is hereby ful(y terminated. UCC Instrument Number <br />�002/002 <br />68801 <br />9911668999-1 l <br />county Instrument Number 201105892 "' `"' ' <br />TAX PERIODS 2010 <br />C] PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX PERIODS <br />� SUBORDINATION. The State Ta�c Lien is subordinated as follows. UCC Instrument Number <br />County InsVument Numis$r <br />I hereby certiCy that the Nebraska Departrnent oi Revenue has complied with the revenue taws of the State of Nebraska in <br />dete ' tion of the terminatl , artial release, or subordination indicated above. <br />sign � Revenue Agent L/ 9 o 1a/,� 402 471�067 <br />here Prepa r's 5ignature Tdle Date Telephone Number <br />vv� i���f� Senior Revenue Agent /l'j <br />uthorized Signature TiUe Date �` <br />4-232�8 Rev. 8-96 Supareades 423Z�69 Rev, 70�5� <br />� <br />