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Nebraska !dentificalion Number <br />7009674 <br />Federal Identification Number <br />47 - 0776255 <br />Soda, Security Number <br />XXX - XX - 9068 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11e 8820C <br />Lien filed with <br />DIPeeri;+sr rfi Diva& lCavnt, rt :k <br />Date of Lien <br />X12332015 <br />Tex Category <br />01 <br />Co unty <br />Hall <br />I BUSINESS NAME NW LOCATION AbtRESS <br />TAXPAYER NAIAE AND MAILING ADDRESS <br />Business Name <br />Name <br />DENNIS NELSON <br />Street Adirt,is. <br />Stmat or Mailing Address <br />501 N. PINE ST <br />City Stale Zip Code <br />City -- - State - -- Zip Code <br />GRAND ISLAND NE 68801 <br />Dec. 24 2014 2:27PM NE Secretary of State - UCC <br />w;- i ; ; State Tax Lien Statement of Termination or <br />NUE Certificate of Partial Release or <br />WW w.'SYT•. .. Y <br />Subordination <br />Pura mutt to (he rovr,i,ie !awe 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 />® TERMIYf,TtON OF TAX I.!EN. rho Stale l.x Len le hips.); filly v.erMinFt±t UCC Int:t Number D14/'3 J40-8 _ <br />Guun!;' I mit NurOJer 201404 +320 <br />TAX YEARS (corporate, Individual Income, and withholding to only) 2013, 2014 <br />PART,AL RELEASE. . The grate Tax Lion is podiatry Wooster as inflows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />0 SUBORDINATION. The State Tex Lien a subordinated as follows. <br />sign <br />here <br />201408114 <br />Type of Action <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />L unty Instrument it laths r <br />No.8379 P. 5 <br />NE Sac of JcM, 11 fit• - YCC Tim <br />991474a5M -g lass: 1 <br />NELSON DINGS <br />Filed: 12/24126114 111:23 pR <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the Stale of Nebraska in <br />date jnation of the tenpin artial release, or Subordination indicated above. <br />..— Revenue Agent <br />P pa es Signature Title De. Telephone Number <br />Revenue Supervisor _ %d e 7a <br />authorized Signature silk Date <br />4232661W &®6 suyerwtlei 429269 Rev 10 -85 <br />402 471.6067 <br />