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04/01/2013 MON 14:30 FAX 402 471 4429 UCC SECRETARY OF STATE <br />20130260E <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Employer or <br />Liable Person: Dana Tompkin f/d/b /a Eclipse Drafting& Construction <br />Address: 11750 S 190 Rd. Wood River NE 68883 <br />NDOL Acct. No.: 0332044004 <br />Federal ID No. / SSA No.: 81- 0572697 <br />Hall 0004 /004 <br />NE <br />II 1 11 gill <br />Sec of Slate John A Gale - UCC 109 <br />9913712037 -2 Pis: 1 <br />ECLIPSE DRAFTING & CONSTRUCTIO <br />Filed: 04/01/2013 10:45 AM <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person. This Termination is filed pursuant to NNb. Rev, Stat. § §48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev Stat. §77 )901, et seq.). <br />LIEN TO BE TERMINATED, <br />X ( FULL Termination PARTIAL Release NDOL Serial No.: LA13- 0023 -2013 <br />Property description (ONLY if PARTIAL Release): State Tax Lien Document No.::. 9913708158 -2 <br />County: Hall <br />County Documfint Filing No. : 0813001031 <br />n/a <br />Date: April 1, 2013 By: <br />T :\DOCUMENTS \FORMS \Liens\Termination.docx <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Other Filing tnEurmatipn: Org filed Co. 2/7/2013 @ 2:30 <br />#201301031. <br />I certify that the Nebraska Department of Labor has complied with the En ployment Security Law of the State of <br />Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after <br />demand. <br />CATHERINE D. LANG <br />Commissioner of Labor <br />IN,: Agency" I. gal Cpunsel <br />S A. U NSKI, Le01 Coi)nsel <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />