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Nebraska Identification Number 9715991 • Federal Identification Number 202015795 Social Security Number xxx -xx -5271 Spouse's Social Security Number Lien Serial Number 11323148 Lien filed with Date of Lien 10/16/2013 Tax Category 21 County HALL X Register of Deeds r County Clerk I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name DONNA WRATTEN Street Address Street or Mailing Address 605 E BISMARK City State Zip Code City State Zip Code GRAND ISLAND NE 68801 Type of Action Dec.19, 2013 2 :27PM NE Secretary of State - UCC TAX PERIODS VOW W a r VAI aW. r..%J 201309820 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. © TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. \ebr.xk.OeVarlrn�l o' State Tax Lien Statement of Termination or REVENUE Certificate of Partial Release or Subordination UCC Instrument Number County Instrument Number 2009, 2010, 2011 PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number County Instrument Number TAX PERIODS El SUBORDINATION. sign here The State Tax Lien Is subordinated as follows. No. 2498 P. 2/2 NE !.e of Si.*. John A e ■re - UCC he i 9913727600 -4 Pe:; 1 WRATTEN DONNA 'Filed; 12/19/2013 10 ;36 AM PLEASE DO NOT WRITE IN THIS SPACE UCC Instrument Number County Instrument Number 9 913724849 -7 201308573 I hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in determination of the termination, partial release, or subordination indicated above. 402 471 -5709 Preps is Signature 1 Title Dale Telephone Number � / ,% &� � Revenue Senior Agent rked - re Title Date 4-232-8B Rev. 548 Supersedes 4 Rev. 10 96 AY_