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Nebraska Identification Number <br />11290897 <br />Federal Identification Number <br />Soda! Security Number <br />XXX -XX -8128 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11429985 <br />Lien filed with <br />Dale of Lien <br />02/22/2014 <br />Tax Category <br />01 <br />County <br />HALL <br />(,'1 Register of Deeds I County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />KOURTNEY PATCHER <br />Street Address <br />Street or Mailing Address <br />1012 WEST 10TH <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 88801 <br />Jul.24 2014 3:09PM NE Secretary aT State — UCC No. 5931 P. 2/2 <br />201404566 <br />met. _;rp,n ---e-- State Tax Lien Statement of Termination or <br />Nebrem REVENUE Certificate of Partial Release or <br />wW 1/,•. Y S......,...yr W <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_ relerlsed ocsuboxdinated _to_the_extent-indicated. -- <br />below. <br />Type of Aetien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />© TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully terminated. UCC lust Number <br />County teat Number 2 <br />TAX YEARS (corporate, individual income, and withholding tax only) 2012 & 2013 <br />L-i MARTIAL RELEASE. The State Tax Lien is partially released as follows; UCC Instrument Rumba( <br />County Instrument Number <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />at the ebras - = pa en o - nue has comp i - . ' h I revenue Iowa of . tate o brew a in <br />deter J <br />.n of the termina 'max partial release, or subordination indicated above. <br />he <br />yce <br />rep; ers Sign. tuns <br />Sigma <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />title <br />Date <br />NE Um of S!.!r Jehn A Gale - U 7P5 <br />/ 7 ev ( <br />8914739359 -7 Pas= 1 <br />MATCHER KO(STTEY <br />Filed: <br />6712412414 59:24 AM <br />Tel aphon um <br />Dort / // <br />1- 2224e Rea. 843 Bupbud55 a- 292.99 RM. 1a95 <br />402 471 -6067 <br />