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Pursuant to the revenue laws of the State of Nebraska, the <br />Tax Commissioner hereby gives notice that the StateTax Lien <br />against the taxpayer identified below, the original notice of which <br />was duly filed of record as indicated, is continued, terminated, <br />partially released, or subord to the extent indicated below. <br />Please Da Not Write In This Space <br />Nebraska ID Number <br />8091374 <br />Federal ID Nurnber <br />Social Security Number <br />XXX-XX-7247 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11325321 <br />Llen Filed With <br />Secretary of State, Register of Deeds <br />Date of Llen <br />11/18/2013 <br />Tax Program <br />21 <br />County <br />HALL <br />T axpayer - Name and <br />Mailing Address <br />- - - Business <br />Jul. 14, 2015 2:44FM NE Secretary of State - UCC <br />a <br />Nebraska Department of <br />REVENUE <br />201504 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Tax Years 2009, 20W, 2011 & 2012 <br />UCC Instrument Number 99137267043 County instrument Number 201309423 <br />Type of Action <br />Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />reparer's Signal re <br />ronald.despins(4nebraska.gov <br />Email Address <br />- � • '- <br />l. (t 'IA_ Revenue Senior Agent <br />Aulnorized Sl Title <br />NE G.. of <br />JEFFREY M. REIS <br />4145 MANCHESTER <br />GRAND ISLAND NE 68803 <br />No, 1781 F. 6 <br />54.4a <br />Jonn G Gale - UCC TO <br />9915757754 -9 Pgs: 1 <br />REIS JEFFREY 11. <br />Filed: 07/14/2015 01:58 PP1 <br />I hereby certify that the Nebraska Department of Revenue has complied With the laws of the Slate of Nebraska in determination of the <br />n, termination, partial , or subordination indrealed above. <br />Revenue Agent 07/08/9.014 (407)471 -6067 <br />Title Dale Phone Number <br />Date <br />4-232 -1958 Rev. 1 - 2015 <br />Supersedes 4•232.19ea Rev. 041114 <br />Art <br />