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04/01/2013 MON 14:30 FAX 402 471 4429 UCC SECRETARY OF STATE <br />O g <br />Employer or <br />Liable Person: <br />Address: <br />Klinpers Plumbing & Heating Inc. _ <br />120 West 9 Wood River NE 68883 -0312 <br />NDOL Acct. No.: 0319367007 <br />20- 6330632 <br />Federal ID No. / SSA No.: <br />n/a <br />Date: April 1, 2013 B <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 />CATHERINE D. LANG <br />Commissioner of Labor <br />tiyy <br />201302607 <br />STATE TAX LIEN 0 NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL Office of af Counsel <br />P.O. Box 94600 <br />Lincoln, NE + 68509 -4600 <br />Telephone - t402) 471 -9912 <br />FAX - (402) 471 -9917 <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 Njb. Rev, Stat. ; §§48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev: Stat. §771901, et seq.). . <br />LIEN TO BE TERMINATED . <br />I X I_ FULL Termination PARTIAL Release NDOL Serial I. LA$- 0083 -2013 <br />Property description (ONLY if PARTIAL Release): State Tax Lien Document No.: 9913710673 -8 <br />County: Hall <br />Hall 12003 /004 <br />NE S ec of Slake John A Gale - UCC <br />111 11 <br />TO! <br />99 -0 Ass: 1 <br />KLINGERS PLUMBING $ HEATING IN <br />Filed:; 04/01/2013 10:45 AM <br />County Document Filing No.: 0813001996 <br />Other Filing Inlrmation: Org. filed Co. 3/14/2013 CO <br />3:05 #20130(9 ¢. <br />I certify that the Nebraska Department of Labor has complied with the E,ployment Security Law of the State of <br />Nebraska in the determination of the amount due, and the employer or pergokihas failed to pay the amount due after <br />demand. <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />