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May. 10. 2016 08PM NE Sere ary of Stag - UCC N.. 6 426...P. 20_„ <br />roe <br />0#60288 <br />981677 -5 <br />SANCHEZ JORGE ARCHOLECAS pas; 1 <br />Filed: 05 / 1 0/2016 11:10 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Len is hereby fuNy terminated. <br />TAX YEARS 2013, 2014 <br />PARTIAL RELEASE. The State Tax Llen is partially released as follows: <br />TAX YEARS <br />(corporate, Individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />sign <br />here <br />ereby cerf t <br />A;✓ <br />r�rbnw�k�Aepa,nrnenl er State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />w•w.?w Vol lvl. N..USY <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Llen 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 />Nebraska Identification Number - Federal Identification Number - Social Security Number <br />96091770 XXX - XX - 4498 <br />Lien Serial Number Data of Len <br />11558293 Lien filed with Register of Deeds 09/23/2015 <br />Nebraska Department • ' avenue has compli <br />determination of the fermi -tlon, partial release, or subordination Indicated above. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Tax Category County <br />22 HALL <br />JORGE ARCHOLECAS SANCHEZ <br />1403 W 3RD ST <br />GRAND ISLAND NE 88802 <br />UCC Instrument Number <br />County instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />05/05/2016 <br />Date <br />Spouse's Social Security Number <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />UCC Instrument Num r 9915761 <br />County Instrument Number 201506651 <br />(corporate. individual Income, and withholding tax only) Continuance: UCC Instrument Number <br />Continuance; County Instrument Number <br />wi <br />e revenue laws of the State . Nebraska in <br />(308)632 - 1203 <br />Telephone Number <br />05/05/2016 <br />Date <br />1- 232-68 Rev. 8-96 Supersedes 1- 29248 Rev. 10 95 <br />