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Nebraska Identification Number <br />10145362 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -8597 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11155596 <br />Lien filed with <br />Date of Lien <br />04/04/2011 <br />Tax Category <br />01 & 21 <br />County <br />Hall <br />X Register of Deeds 'County Clerk <br />[ BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Mark A. Kersten <br />Street Address <br />Street or Mailing Address <br />306 N. Pine St. Apt. #1 <br />City State Zip Code <br />City State Zip Code <br />Grand Island Ne. 68801 <br />'• <br />Type of Action <br />02/26/2013 TUE 12:14 FAX 402 471 4429 UCC SECRETARY OF STATE <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 />0 TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX PERIODS <br />0 PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX PERIODS <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />sign <br />here <br />201301520 <br />Title <br />Hall 1003/007 <br />9913709380 -4 P93: 1 <br />1,111/1111111111111111111 <br />ERSTEN MARK R. <br />Filed: 02/26/2013 10:41 qM <br />rsab.seka�lrHrmr.xo� State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />WwW ..41Wrn vi. Is Ni 1110 r <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />County Instrument Number <br />2010 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />.9911662110 -3 <br />201 10 <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />deter,' = tion of the terminate, partial release, or subordination indicated above. <br />Revenue Agent .7 ,?/ v 402 471 -6067 <br />Title ate Telephone Number <br />Senior Revenue Agent — / <br />Date <br />4. 232.68 Rev. 8 -96 Supersedes 4- 232.69 Rev. 1 <br />