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Nebraska Identification Number <br />45596417 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -4521 <br />Spouses Social Security Number <br />Lien Serial Number <br />11034129 <br />Lien filed with Register of Deeds <br />Date of Lien <br />01/05/2010 <br />Tax Category <br />22 <br />County <br />HALL <br />I BUSINESS NAME AND LOCATION ADDRESS '• <br />TAXPAYER NAME AND MAILING ADDRESS <br />JUSTIN R TREJO <br />1212 N Sycamore <br />GRAND ISLAND NE 68801 <br />I Type of Action I <br />07/08/2013 MON 15:25 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Os <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 />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2006 <br />(corporate, individual Income, and withholding tax only) <br />0 PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, individual income, and withholding tax only) <br />0 SUBORDINATION. <br />sign <br />here <br />,i.� • _ f _ ska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />of the ' nation, park . + lease, or A • .ination indicated abo e. <br />201305488 <br />btiokaiO ewlAmerrt of State Tax Lien Statement of Termination or <br />REVENUE <br />www.r•vrnw nf.4w Certificate of Partial Release or <br />. <br />Subordination <br />The State Tax Lien is subordinated as follows. <br />1 <br />Title <br />y -.-0 <br />Hall <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 />UCC Instrument Numlfsr 99106162210 <br />County Instrument Number 201000224 <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 />... 07/03/2013 <br />Date <br />NE Sec Of S ate John R Gate - UGC TO <br />111111 11 <br />9913718260 -1 Pgs: 1 <br />TREJO JUSTIN R <br />Filed: 07!08/2013 10:19 RM <br />(308)632 -1200 <br />Telephone Number <br />7 -3 -1 3 <br />Date <br />4- 232.68 Rev. 8-96 Supersedes 4- 232.69 Rev. 10-96 <br />12002/002 <br />