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N y ..'- : >° .'> . Beation Number <br />._ 39674 <br />Federal Identification Number <br />47 0776255 <br />Social Securfy Number <br />XXX <br />Spouse's Social Security Number <br />Lien Serfs! Nip <br />11163 484 <br />Lieu fled with <br />EIRegieter or Deeds County Clerk <br />Date of Lien <br />10/07/2011 <br />Tax Category <br />01 <br />County <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRF.88 <br />Business Name <br />Name <br />DENNIS NELSON <br />Street Address <br />Street or Mailing Address <br />501 N. PINE ST _ <br />City State Z:p ua1N3 <br />Gity -- Stele Zip Code <br />GRAND ISLAND NE 68801 <br />Dec. 24, 2014 2:28PM NE Secretary of State — UCC <br />2014081 <br />\5 <br />,r,...�,., State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />Pursuan` to the fevenuea laws of the State of Nebraska, notice 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 released, or subordinated to the extent indicated <br />1: <br />sign <br />bore <br />/fit. 110,f l am <br />bred Signahtre <br />Type et Action <br />TERMINATION OF TAX I,ISN, The Pate Tax Lien is hereby fully terminated. <br />UCC Inet Number <br />County Inet Number <br />TAX YEICI C ,s..'pera s, :ndhld:il Inccrrc, art w$ l*c dLag `tc art;; 2011 <br />PARTIAL RELEASE. The State Tax Lien e partially released as follows: UcC Instrument Number <br />County Instrument Number <br />TA)t YEARS icorparate, i rrdlvldttal Income, and withholding tax only) <br />SUBORDINATION. The State Tax Ilan is subordinated as follows. <br />No, 3379 P. 9 <br />MS SO. Of 54.4. Jahn M Gale - IICL Tee <br />11111111111 11 <br />991474E1W1 -4 Pas i 1 <br />NELSON OENN13 <br />Filed: 12/24/21114 tots rtN <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />County Instrument Number <br />9911675040 -9 <br />201107961 +. <br />w <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />d µr bon Of the fermi yn, portal release, or subordination indicated above. <br />AZ Revenue Agent /x47/" 402 471 -806 <br />nature wr Tilde Date r Telephone Number <br />Revenue Supervisor ) �, - -.la + /y <br />Title Datb <br />4.232450 Ras. 6- Supersedes 4,232. Rey. 10,95 r <br />