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201407936
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Last modified
12/17/2014 4:00:33 PM
Creation date
12/17/2014 3:48:51 PM
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DEEDS
Inst Number
201407936
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Nebraska identification Number <br />10586679 <br />Federal identification Number <br />80 -0439865 <br />Social Security Number <br />XXX-XX-9740 <br />Spouses Social Security Number <br />Lien Serial Number <br />11365346 <br />Lien flied with <br />Date of Lien <br />07/19/2013 <br />Tax Category <br />01 <br />County <br />Hall <br />©Register or Deeds II County Clark <br />I BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Rushton Name <br />Name <br />GARY LEMBURG <br />Street Address <br />Street or Melling Address <br />2805 Fr WORTH AVE. <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 88803 <br />Dec,17, 2014 2 50P NE Secretary of State — UCC <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 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 />0 PARTIAL RELEASE <br />TAX YEARS (Corporate, Individual Income, and withholding tax only) <br />sign <br />here <br />date <br />Signature <br />201407936 <br />M.Otickr rh.p+rllrrM State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />Type of Action <br />NE loz .r Mote turn A l.1. - ucc 1'rd <br />IIII 11111 <br />I <br />9914746222 -7 Po, 1 <br />L led: 11;14 1119 <br />I �I <br />The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />SUBORDINATION. The Ststa Tax Lion Is subordInChld as follows. UCC Instrument Number <br />County Instrument Number <br />No 8247 P. 5/6 <br />PLEASE CO NOT WRITE IN THIS SPACE <br />El TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully tenttlnated. UGC Inst Number 9913719578 -5 ,� <br />County Iriet Number 20 1305997 <br />TAX YEARS (corporate. Individual Income, and withholding tax only) 2012 82013 <br />reby cert t at t e Nehru <br />on of the termin <br />1 <br />FA O <br />s Signature <br />1. <br />rtrnent o ' euenue as comp h <br />renal release, or subordination Indicated above_ <br />e revenue leas <br />Revenue Agent <br />Title Da <br />Revenue Supervisor <br />Title <br />0 <br />Nebras a to <br />402 471 -6067 <br />Telephone Number <br />Q_ /a -!Y <br />Date • <br />41-21240 R.. e-9e 8uesniosa 4237- R9v. 1D115 I., <br />
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