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_!ul. 14. 2015 2:45FM NE Secretary rJf ;:tats - UCC <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Nebraska Identification Number <br />16932579 <br />— _ – Gen Serial - Number <br />11549993 <br />BUSINESS NAME AND LOCATION ADDRESS <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2009, 2010, 2012 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, Individual Income, and withholding tax only) <br />0 SUBORDINATION. The State Tax lien is subordinated as follows, <br />sign <br />here <br />e to <br />UIE <br />Federal Identification Number <br />Lien Filed with Register of Deeds <br />the <br />201504770 <br />Subordination <br />Pursuant to the revenue laws 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 />Social Security Number <br />XXX - XX - 7975 <br />Daaa at'Uerr Tux Category County <br />04/14/2015 22 HALL <br />CHARLES J JONES <br />903 S VINE ST <br />GRAND ISLAND NE 68801 <br />UCC Instrument Number <br />County Instrument Number <br />No.17F,1 F <br />Gai.- uc., <br />NE Sec of StoA John q <br />9915757758 - <br />JONES CHPRLES J <br />Filed! 07!14/2015 01:58 PM <br />a+� State Tax Lien Statement of Termination or <br />it:eb raeka etpinrnont 0 � <br /># ENIJE Certificate of Partial Release or <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Spouse's Social Security Number <br />TAXPAYER NAME AND MAILING ADDRESS <br />UCC Instrument Numbe 915752680 <br />County Instrument Number 201502470 <br />(corporate, individual Income, and withholding tax only) Continuance: UCC Instrument Number <br />Continuance; County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />raska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />partial - ease, or subordination Indlrated above. <br />Revenue Agent 07/09/2015 (308)632 - 1210 <br />Title Date Telephone Number <br />Revenue Supervisor 07/09/2015 <br />Title • Data . <br />4- 292.66 Rev. 8-118 Supersedes 6 -232$9 Rev.14as <br />