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Pursuant to the revenue laws of the State of Nebraska, the <br />Tax Commissioner hereby gives notice that the State Tax 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 Do Not Write In This Space <br />Nebraska ID Number <br />9279822 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -2673 <br />Spouse's Social Security Number <br />Lien Serial Number <br />120060189 <br />Lien Flied With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />04/25/2006 <br />Tax Program <br />01 -21 <br />County <br />HALL <br />L Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Feb. 25. 2016 3:24PM NE Secretary of State — UCC No. 5260 P. 2.3 <br />Nebraska Department of <br />REVENUE <br />Tax Years 2004 <br />CJCC Instrument Number 9906451523 -2 County Instrument Number 200604139 <br />® Termination of Tax <br />l Lien <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />The State Tax Lien is hereby fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has compiled with the laws of the Stale 01 Nebraska in determination of the <br />continuation, termination, partial release, or subordination Indicated above. <br />P <br />Rrvenur. Srninr A • ent, 07/22/2016 (402)471 -5709 <br />Date Phone Number <br />This <br />20100113i <br />Type of Action <br />SAMUEL SPITZ <br />PO BOX 5611 <br />GRAND ISLAND NE 68802 <br />Revenue Senior Agent <br />NE Sac of Sisi. John A 6.1. - ,Xt Te <br />9918759142 -8 <br />SP TZ SAMUEL <br />Fi yid; 02/26/2016 11:16 PPM <br />Pet <br />4. 232.1969 Aev.1-2015 <br />Supereades 4-232-1E186 Rev. 840 <br />1� <br />