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Nebraska Identification Number 36381314 Federal Identification Number Social Security Number XXX -XX -1093 Spouse's Social Security Number Lien Serial Number 11045657 Lien filed with Register of Deeds Date of Lien 09/28/2010 Ta.iCategory 2 County HALL I BUSINESS NAME AND LOCATION ADDRESS TAXPAYE1A NAME AND MAILING ADDRESS DUSTY DVORAK` PO BOX 341 GRAND ISLAND Nk 68802 -2753 Type of Action ' 03/07/2013 THU 14:45 FAX 402 471 4429 UCC SECRETARY OF STATE 201301788 Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. TAX YEARS 2007 (corporate, individual income, and withholding tax only) El PARTIAL RELEASE. The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) SUBORDINATION. The State Tax Lien is subordinated as follows. sign here Reve; ' ent �yy Hall 0002/002 NE Sec of 54ake Jahn A Gale 11 1111 9913710146 - DVORAK DUSTY Filed: 03/07/2013 11:13 AM tien State Tax Lien Statement of Termination or Certificate of Partial Release or ro:E av SI bordination PLEASE DO NOT WRITE IN THIS SPACE UCC Instrument Num r 9910639091 county Instrument Number 201007222 Continuance: UCC Instrument Number Continuance: Count Instrument Number 4 Instrument Number f '�t U Instrument Number Coup r . UC Instrument Number Coun Instrument Number I hereby certify that the Nebraska Department ofRevenue has complied with the revenue aws of the State of Nebraska in determination of the terminati . n, partial release, or subordination indicated above. 0` /04/2013 (308)632 -1203 Telephone m • - Title /� D 4- 232-68 Rev. 8-96 Supersedes 44232.69 Rev. 10-95 SIN