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Nebraska Identification Number <br />7009674 <br />Federal Identification Number <br />47 0775255 <br />5odal Security Number <br />XXX <br />Spouse's Social Security Number <br />Lien Serial Number <br />11487780 <br />Lien tiled with <br />RI Register or Deeds 0 County Clerk <br />Date of Lien <br />48/23/2014 <br />Tax Category <br />01 <br />County <br />. Hall <br />r EUSiiifESS NAM MO WCAi1CiN ADDi4 SS <br />TAXPAYER NAME AND MA)UNO ADDRI_$9 <br />6usinesa Ninrue <br />tin me <br />OEN NIS NELSON <br />Street A.id.eas — <br />` it sat or it ailing Address <br />501 N. PINE ST <br />City State Zip Code <br />City State Zip Code <br />GRAND ISLAND NE 68801 <br />Dec. 2/h 2014 2:27PM1 NE Secretary of State — UCC <br />20140&116 <br />'tie6...r. ?7..,wtrn.nr a State Tax Lien Statement of Termination or <br />REVENU ` Certificate of Partial Release or <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given tat the 3taLe Tax Lien xertith ties been duly filed by the Nebraska <br />Department of Revenue against the below - named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />TAX YEARS (c- orporate. individual inwme, and withholding tax only) <br />sign <br />here <br />P Si nature <br />u� /1 <br />thortred Signature <br />Type of Action <br />TAX YEARS (corporate, Individual income. and withholding tax only) 2011, 7012 <br />❑ SUBORDINATION. The State Tent Lien it subordinated as follows. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERtidIAT!(1N_ OF 'LAX LIEN. "he State Ira :4rn a.• hereby foffi tarilsi,:atad. UCC irtst Nurriber gi14739839 -5 <br />Coin* ins` Number 20140 4821 <br />0 PARTIAL RELEASE. The Stale Tax Lien Is partially released as Follows: UCC Instrument Number <br />County in$irument Number <br />UCC Instrument Number <br />County Instrument Number <br />No. 8.379 P. <br />!!t St of 54Y1• John M Salo - C TN <br />Q9tl47g Pas: <br />FLZa 12/24s2a14 10:26 at <br />f hereby ce that the N <br />lion of the tenhi <br />aka Oepsrtinent o - . : nue has complied with the revenue laws the State of Ne ranks in <br />partial release, or subordination indicated above. <br />Data <br />levy 402 471 - 8087 <br />Telephone Number <br />Date <br />4.2326e Rev. 1345 Supersedes 4- 23269 Rex 10-95 <br />