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Aug, 23, 2013 1:43PM NE Secretary of State - UCC State Tax Lien Statement of Termination or E'vEUE Certificate of Partial Release or Subordination Pursuant to the revenue laws 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. Nebraska Identification Number 38331586 Lien Serial Number 040650055 Authorized Signature Federal Identification Number Lien tiled with Register of Deeds BUSINESS NAME AND LOCATION ADDRESS 201306916 Q SUBORDINATION. The State Tax Lien Is subordinated as follows. Solo) Security Number )00C-XX -1930 Date of Lien 03/05/2004 Type of Action PARTIAL RELEASE. The Slate Tax Lien is partially released as follows TAX YEARS (corporate, Individual Income, and withholding tax onI) Tax Category County 22 HALL No. 0603 P. 2 NE Se. of 54.ke Joke A fide - UGC T!9 111 1111 11 9913721509 - 4 Pgs: 1 DE LA ROSA ANTONIO Flied! 09/23/2013 10:53 AM PLEASE DO NOT WRITE IN THIS SPACE Spouse'& Social Security Number TAXPAYER NAME AND MAILING ADDRESS ANTONIO DE LA ROSA 704 E 8TH GRAND ISLAND NE 68801 ® TERMINATION OF TAX LJEN. The Stela Tax Lien Is hereby fully temi hated UCC Instrument Num er 5904353595 -0� TAX YEARS 2000 County Instrument Plumber 02D0409829 (corporate, individuvl income, and withholding tax only) 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 Deportment of Revenue Ira® complied with the revenue laws of the State of Nebraska in 'ration of the temtination, pantal retie*. or subordination indicated above. sign venue Agent 1-21- { ) (402)471 - 5712 here Pis Signature Title Date Telephone Number Tide Date 4 02 46 Rev. 646 Su a a 4.n26a Rev. um