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Nebraska Identification Number <br />113684867 <br />Federal Identjcatton Number <br />Social Security Number <br />XXX - XX - 7088 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11269062 <br />Lien filed with <br />Date of Lien <br />02/02/2012 <br />Tax Category <br />01 <br />County <br />Hall <br />2 Register of Deeds IN County Clerk <br />— BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AN YI ADDRESS <br />Business Name <br />Name <br />Gerson W. Carney <br />Street Address <br />Street or Mailing Address <br />1523 Sylvan St Apt #1 <br />City State Zip Code <br />City State Zip Code <br />Grand Island Ne 68801 <br />May, 5. 2014 3:49PM NE Secretary of State — UCC No. 4654 P. 2/7 <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />sign <br />hero <br />4 A.., A. <br />is Signature <br />rized ignature <br />201402687 <br />Ye Sec et Skate lei., q Owl• - UCC i0Y <br />20 - 1 Pap: I <br />calET SEASON N. <br />11661: 06106/2014 82;57 PM <br />,.brwrY• aow.n,Tfer.te 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 />ylven 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 />Type of Action <br />0 PARTIAL RELEASE. The State Tax Lien is partially released as follows: ucc instrument Number <br />County Instrument Number <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />PLEASE DO NOT WRITE= IN THIS SPACE <br />® TERMINATION OF TAX LIEN. The State lax Lien is hereby fully terminated. UCC Inst Numb 9912684532 - <br />County Inst Number 241201027 <br />TAX YEARS (corporate, individual income, and withholding tax only) 2010 <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Reveal.* has compiled with the revenue laws of the State of Nebraska in <br />d ` on of the terminatb rtiai release, or subordination indicated above. <br />402 471 -6067 <br />Dot Telephone Number <br />Date <br />4292ae Rev. sae supersedes 443$$ Rw. 9 <br />