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Nebraska Identification Number <br />40384950 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -3139 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11284613 <br />Lien filed with Register of Deeds <br />Date of Lien <br />06 /13/2012 <br />Tax Category <br />22 <br />County <br />HALL <br />I BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />SAM E MCCALLAY <br />4870 W US HWY 30 LOT 6 <br />ALDA NE 68810 <br />Type of Action "T I <br />02/28/2013 THU 13:47 FAX 402 471 4429 UCC SECRETARY OF STATE -+ -'-. Hall <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 />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2010 <br />(corporate, individual income, and withholding tax only) <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, individual income, and withholding tax only) <br />SUBORDINATION. <br />sign <br />here Prepa <br />201301625 <br />NE Sec of Slake Jahn R Gale - UC <br />9913709595 -1 Pas: <br />MCCALLAY SAM E <br />Filed: 02/28/2013 11:27 API <br />br State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />W W W.rrYiMiir.f.e.rrV <br />Subordination <br />d erminatlon of the termination, partial release, • subordination indicated above. <br />s Signatu <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number 99126939961 <br />County Instrument Number 20120 5 3 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />UGC Instrument Number <br />County Instrument Number <br />The State Tax Lien is subordinated as follows. uGC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of has complied the revenue laws of the State of Nebraska in <br />Revenue Agent 02/26/2013 (402)471 -5712 <br />Title Date Telephone Number <br />�J vi o, • ?a, /_F <br />Title Date <br />4.23248 Rev. 6-96 Supersedes 4-232-69 Rev. 10-95 <br />0002 /002 <br />T09 <br />