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Nebraska Identification Number <br />23282436 <br />Federal Identification Number <br />Social Security Number <br />. MC- MC=9934 <br />Spouse's Social Security Number <br />Lien Serial Number <br />42680085 <br />Lien filed with <br />Date of Lien <br />01/24/2006 <br />Tax Category <br />22 <br />County <br />HALL <br />X Register of Deeds DCount Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />DOUGLAS H JUETT <br />Street Address <br />Street or Mailing Address <br />1018 DELILAH DR <br />City State . Zip Code <br />City - State Zip Code <br />KINSTON NC 28501 <br />Type of Action <br />1 <br />Jul. 28. 21115 3:95FM <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 />Ej TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully terminated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) ' 2003 <br />▪ PARTIAL RELEASE_ The Slate Tax Lien is partially released as follows= UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, Individual Income, and withholding tax only) <br />❑ SUBORDINATION. The. State Tax Lien is subordinated as follows. <br />20 15051 V5 <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the. State of Nebraska. In <br />determination of t -' n to ,release, or subordination indicated above. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Na. 2522 <br />NE <br />S ¢e cf 14 a Jeh, A Bale - UCC 729 <br />1111 111, <br />9915758570 -0 Pea: 2 <br />JUETT DOUGLAS H <br />Filed: 07/29/2015 02;31 PM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />UCC Instrument Number <br />County Instrument Number <br />064349962 <br />200600914 <br />Si t Al IACHMtNTS <br />07/22/2015 308 632 -1206 <br />Date Telephone Number <br />• 07/22/2015 <br />Date <br />4- 23268 Rev. 8-98 Supersedes 423289 R'ry. 10-95 <br />