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05/03/2013 FRI 14:31 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 />Nebraska Identification Number <br />36211702 <br />Lien Serial Number <br />11284048 . <br />sign <br />here <br />201303552 <br />�b,,,, State Tax Lien Statement of Termination or <br />/IL Certificate of Partial Release or <br />wvrtV.rr Vi -gery <br />Subordination <br />Federal Identification Number <br />Lien filed with Register of Deeds <br />BUSINESS NAME AND LOCATION ADDRESS <br />Date of Lien <br />06/08/2012 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. <br />TAX YEARS 2008 <br />(corporate, individual income, and withholding tax only) <br />O PARTIAL RELEASE. The State Tax Lien is partially released as folk s: <br />TAX YEARS <br />(corporate, individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />Social Security Number <br />XXX - XX - 8382 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determi r on • the termination, partial release, or subordination indicated above. <br />:,, igna, /, <br />• - W Title <br />Revenu . Senior Agent <br />Title <br />Hall 2002/002 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Tax Category County <br />22 HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />MICHELLE R HARTFORD <br />921 N WALNUT <br />GRAND ISLAND NE 68801 <br />UCC Instrument Number 99126936520 <br />County Instrument Number 2012 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />04/30/2013 <br />Date <br />NE Sec of Siaie John A Gale - UCC TOG <br />9913714337 -0 Pgs: 1 <br />HARTFORD MICHELLE R <br />Filed: 05/03/2013 02:25 PM <br />Spouse's Social Security Number <br />Dat <br />4-232-68 Rev. 8.98 Supersedes 4. 232.69 Rev. 10-95 <br />