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Nebraska Identification Number <br />28041291 <br />Federal Identification Number <br />Social Security Number <br />XXX - XX - 0413 <br />Spouse's Social Security Number <br />XXX - XX - 2294 <br />Lien Serial Number <br />Date of Lien • <br />Tax Category <br />County <br />11317789 <br />Lien flied with Register of Deeds <br />02/11/2013 <br />22 <br />HALL - <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />GARY H CARSON <br />MARILYN M CARSON <br />4540 W 13TH ST <br />GRAND ISLAND NE 68803 <br />Aug. 2015 2:26PM NE Secretary of State - UCC <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 />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby July terminated. UCC Instrument Numbe 99137086544 <br />TAX YEARS 2007, 2008, 2009, 2010 County Instrument. Number 201301239 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />(corporate, Individual Income, and withholding tax only) <br />El PARTIAL RELEASE. The State Tax Lien is partially released as follows. <br />TAX YEARS <br />(corporate, individual Income, and withholding tax only) <br />❑ SUBORDINATION. <br />sign <br />here <br />s Signatur <br />A horized Signa <br />201505318 <br />�L' M..Yi+eYxnrnerneR State Tax Lien Statement of Termination or <br />iE ' NI nb. o E Certificate of Partial Release or <br />wwi'AV6rSwo. ev <br />Subordination <br />Type of Action <br />The State Tax lien is subordinated as follows. <br />I certify that , <br />- o n of t-' ' on, partial elease, or subomlinaton indicated above. <br />r <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />No 2104 P. 71 <br />p s.c .. 544.4e .tohn A G.lo - ULC Tt79 <br />i <br />99157589B5 -7 Pee: <br />CARSON GARY H <br />Filed= 00/06/2016 01:21 PM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />a Department of Revenue has complied with the revenue laws of the Stale of Nebraska in <br />Revenue Agent 08/03/2015 (402)471 - 5789 <br />Title Dale Telephone Number <br />Revenue Supervisor 08/03/2015 <br />Tide Date <br />4-232-69 RW. 9-46 $uperse s 4- 232.69 Rev. 16.96 <br />