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Nebraska Identification Number 40999130 Federal Identification Number Social Security Number XXX -XX -0849 Spouse's Social Security Number )(XX' X X ' 3zb W Lien Serial Number 991340351 Lien filed with Register of Deeds Date . r Tax Category County HALL I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS RODRIGUEZIALVARO M . Sa nia GLCE. 108W 9TH ST GRAND ISLAND NE 68801 I Type of Action 1 07/01/2013 MON 14:53 FAX 402 471 4429 UCC SECRETARY OF STATE 201 305293 Pursuant to the revenue Taws 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 1996 (corporate, individual income, and withholding tax only) 0 PARTIAL RELEASE. The State Tax Lien is partially released as follows: TAX YEARS (corporate, individual income, and withholding tax only) 0 SUBORDINATION. The State Tax Lien is subordinated as follows. sign here State Tax Lien Statement of Termination or REVENUE Certificate of Partial Release or Subordination UCC Instrument Number c County Instrument Number CI Continuance: UCC Instrument Number Continuance: County Instrument Number UCC Instrument Number County Instrument Number UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in de y ination of i - - rmination, partial release, or subordination indicated above. Revenue Agent Title zed Signature Tide Hall 0002/002 PLEASE DO NOT WRITE IN THIS SPACE 7. /,J- Date - e John A Gala -UCC 7 09 99137178 - RODRIOU ALVARO P 9s: 1 Filed; 07/01/2013 03:05 pM g2aSga$ - It) (o.9(.0 (402)471 -5928 Telephone Number 7, i. /- Date 4.232 -68 Rev. 8.96 Supersedes 4. 232.69 Rev. 10.95