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Nebraska Identification Number <br />41503368 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -0062 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11562899 <br />Lien filed with Register of Deeds <br />Date of Lien <br />12/23/2015 <br />Tax Category <br />22 <br />County <br />HALL <br />1 BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAM AND MAILING ADDRESS <br />COLLEEN A VOSS <br />9506 SNEHWY11 <br />WOOD RIVER NE 6B883 <br />J un. 9. 21,016 3 54F NE Secretary 2fOsia6e0-- 3U5C74 <br />B <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <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 extant indicated <br />below. <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2010 <br />(corporate, individual Income, and withholding tak only) <br />D PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS _ <br />(corporate, individual income, and withholding tax only) <br />El SUBORDINATION. The State Tax Lien is subordinated as follows. <br />sign <br />here <br />Continuance: UCC Instrument Number <br />Continuance: County instrument Number <br />hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termin -• -on, partial release, or subordination indicated above. <br />Revenue Agent 06/06/2016 (308)632 - 1203 <br />Title Date Telephone Number <br />Signature - 1 111e <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Subordination <br />0. n n {1 '`'F <br />V6J 11 111111 J <br />9918775143 -3 Pigs 1 <br />4055 COLLEEN A <br />Piled; 06r09/2016 11:02 AM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number /157557866) <br />County Instrument Number 201508769 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County instrument Number <br />06/06/2016 <br />Date <br />4 -23246 Rev. 8-96 Supereeeea I- 232.68 Rev. 10-95 <br />