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Sep. 25. 2014 3:07PM — NE Secretary at State - ACC <br />Nebreeka Identification Number <br />12007439 <br />Lien Serial Number <br />42610071 <br />..I !Ant. <br />set47 <br />taLsork <br />Fried, esimerzeia 11,e7 gm <br />State Tax Lien Statement of Termination or <br />eammosimimmi REVENUE Certificate of Partial Release or <br />Subordination <br />Federal Identification Number <br />Pursuant to the revenue laves of the State of Nebraska, notice Is hereby <br />given 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 />Lien filed with <br />[Register of Deeds ❑County park <br />BUSINESS NAME AND LOCATION ADDRESS <br />Busing N ame - Name <br />DENNIS NELSON <br />Street Address Ststet or Mating Address <br />3579 N HWY 281 <br />City State Zip Code City <br />GRAND ISLAND <br />Type of Action <br />Q TERMINATION OF TM LIEN. The State Tax Lien is hereby fully terminated. UCC that Num 9904366319 -1 <br />County Mat Number 200412167 <br />TAX YEARS (corporate, Individual income, end withholding tax only) 2002 <br />PARTIAL RELEASE. The Stale Tax Lien is partially released as folows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual Income, and withholding tax only' <br />1] sURORDINAT1ON. The State Tax Lien is subordinated as follows. <br />Date of Lien <br />12/162004 <br />Polo. 6888 P. 2/3 <br />P te` t <br />10 000g <br />201406103 <br />Social Security Number <br />XXX -XX -9068 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Tax Category <br />22 <br />Spouse's Social Security Number <br />County <br />HALL <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />State <br />NE <br />UCC Instrument Number <br />County Instrument Number <br />Zip Code <br />68801 <br />roe - e pa n o - eoenuo as mm -. wi the revenue laws of the State of Nebraska in <br />don, partial release, or subordination indicated chow. <br />Revenue Agent e r) ✓ g 402 471 -5789 <br />The T elephone Number <br />Revenue Supervisor .- AZ- f1 <br />Title Date <br />4 -2a2se Rev. Vie Supersedes 23249 Rev. 1046 <br />