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Nebraska Identification Number <br />12009385 <br />Federal identification Number <br />Sodal Seasdry Number <br />XXX - XX - 9724 <br />Spouse's Social Seasity Nummber _ <br />lien Serial Number <br />50560044 <br />Lien filed with Register of Deeds <br />Dale of Lien <br />03/252005 <br />Tax Category <br />d -. <br />County <br />HALL <br />I BUSINESS NAME MD LOCATION ADDRESS <br />TAXPAYER NAM AND MAILING ADDRESS <br />SMITHIR JAMES —� <br />1523 WEST 3RD <br />GRAND ISLAND NE 68803 <br />cl <br />Jan, 10. 2014 3:24PM NE Secretary of State - UCC <br />201400176 <br />TERMINATION OF TAX LEN. The Slate Tax Lien is hereby f ill terminated. <br />TAX YEARS 2002, 2003 <br />(corporate, Individual income, and withholding tai only) <br />© PARTIAL RELEASE. The Slate Tax lien Is nertleiy relaed as fellows: <br />TAX YEARS <br />(corporate, individual income, and withholding lax only) <br />D SUBORDINATION. The Stale Teat Lien is subarkieled as bellows <br />Sign <br />here <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <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 flied 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 />Type of Action <br />I hereby ea* that the Nebraska Dapartment . Revenue has complied wi <br />delarn irelien of the *Minden, partial release, or subordination indrertod above. <br />UCC Instrument <br />Continuance: County instrument Number <br />UCC instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />revenue Jaws <br />Revenue Agent <br />The <br />Title <br />No, 27$4 P. 3/6 <br />!IE Sae of SI.k■ Job„ I, Vela • UCC TUB <br />9914728742 -7 Per: 1 <br />SMITH R JAMES <br />Filed: 01/1012014 11,37 RH <br />PLEASE DO NOT WRITE IN THIS SPACE <br />a 598 (o SO�r <br />county Instrument Number .a DSO N s <br />Comemence: Ucc Instrument Number <br />(402)471 -5928 <br />Telephone Number <br />Dale <br />44292 -6I Rev. e.e6 sya,ra6n 452-SI Rev. 1646 <br />ofp <br />