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Nebraska Identification Number <br />10162291 <br />Federal IdentrficatIon Number <br />Social Security Number <br />XXX - XX - 0303 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11430156 <br />Lien filed with <br />Date of Lien <br />August 20, 2014 <br />Tax Category <br />01 <br />County <br />HALL <br />M'i Register of Deeds • County Clark <br />L BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />DELMI RODRIOUEZ <br />Streel Address <br />Street or Mailing Address <br />1701 W. 1ST ST <br />City State Zip Code <br />City State ap Code <br />GRAND ISLAND NE 68803 <br />Fe'b, 18. 2015 3:40PM NE Secretary of State — UCC NJo, 9194 P, 3/3 <br />NE see of Moot. John n Oaf. - UCC Tae <br />sign <br />here <br />Authorii� u <br />hebraYka ?rWrirronl. o' <br />RE VENUE <br />1VK•+� • +. •. a r..a <br />201:00994 <br />Pursuant to the revenue IaWS 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 agoin.i thy below -named taxpayer, ie <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />IN TERMINATION OF TAX LIEN. The State Tax Lien is <br />TAY Vrarak loorperom, individual inoomo, and withholding tax only) <br />TAX YEARS (corporate. individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />9e157492I5 -7 Ps =; i <br />RODRIGUEZ OELMI <br />Filed; 02r111r2915 11:09 AM <br />State Tax Lien Statement of Termination or <br />Certificate of Partial Release or <br />Subordination <br />County mat Number <br />2011 <br />PARTIAL RELEASE. The State Tax Lien is partially,elaased qs follows: UGC instrument Number <br />counter InwVvrnolet Number <br />PLEASE CO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />County Instrument Number <br />ft' a ebraska Department of Revenue as compled with the revenue laws of t Stale of Nebras r I <br />of the terminspr • partial release, or subordination Indicated above. <br />. Revenue Agent .P !/ at'ar 402 471 - 6067 <br />reperer's Signature Tit's Date Telephone Number <br />i Revenue Supervisor '— t /J' <br />nk <br />Date <br />4- 2a2.4e Rey. 0 R6 bupersadss ♦- 2332.09 Rev.10 -95 <br />