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201602922
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Last modified
5/11/2016 3:35:28 PM
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5/11/2016 3:35:28 PM
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DEEDS
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201602922
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May, 11. 2016 00PM <br />Nebraska Department of <br />REVENUE <br />Nebraska 10 Number <br />208396 <br />Olen Serial Number <br />11595042 <br />Business Name and Location Address <br />Tax Years 2014, 2015 <br />UCC instrument Number (19157636317) <br />Termination of Tax <br />Lien <br />NE atary.cf Stdte, - UCC <br />O16O29 2 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />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 subordinated, to the extent indicated below. <br />Federal ID Number <br />470353670 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Type of Action <br />The State Tax Lien is hereby &illy terminated- <br />I hereby certify trial the NebraS <br />ion, termination, partial r <br />Date of Lien <br />10/28/2015 <br />Please Do Not Write In This Space <br />_Reyenue Agent <br />reperer's Signature Title <br />ronald.despinsAnebraska.gov <br />Email Address <br />;J / 1� ,ELce�• 4t Revenue Senior Agent <br />r•Authorize Signature Title <br />Social Security Number <br />XXX -XX -4976 <br />Tax Program <br />1, 21 <br />NE See OE S ate John A Gale - UGC T08 <br />County <br />HALL <br />No. 6455 P. 3/3 <br />9916773566 -2 Psis, <br />VRNSK VER TODD 1. <br />Filed 05/11/2016 01:47 PM <br />Spouse's Social Security Number <br />Taxpayer Name and Mailing Address <br />TODD J. VANSICIVVER <br />2130 N WEBB RD <br />GRAND ISLAND NE 68803 <br />County Instrument Number 201507733 <br />Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />e, or subordination indicated above. <br />0 510x/7.016. (402)471 -6067 <br />Date Phone Number <br />Dale <br />e- 232 -1969 Rev. 1 -2015 <br />Supersedes 4- 292 -196e Fev, 64014 . <br />
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