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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 subordinated, to the extent indicated below_ <br />Please Do Not Write In This Space <br />' Nebraska ID Number <br />9574689 <br />Federal ID Number <br />202008886 <br />Social Security Number <br />Spouse's Social Security Number <br />Lien Serial Number <br />11552316 <br />Lien Flied With <br />Secretary of State, Register of Deeds <br />Dale of Lien <br />06/09/2015 • <br />lax Program <br />1, 21 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Sep. 9, 2016 03PM NE Secretary t State — UCC <br />Nebraska department of <br />REVENUE <br />Tax Years 2010, 2011, 2012, 2013, 2014 <br />UCC Instrument Number <br />® Termination of Tax <br />Lien <br />pacer's Signature <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Type of Action <br />The State Tax Lien is hereby fully terminated. <br />termination. pa ass, or subordination indicated above. <br />GIGGLES INC <br />1409 N WWEBB RD <br />GRAND ISLAND NE 68803 <br />County Instrument Number 201504106 <br />204' U 59.71 <br />NE See or st.se John A 43.1. - UGC Te9 <br />t <br />9915779598 -5 Pee: 1 <br />GIGGLES INC <br />Filed; 09/09/2015 10:13 AM <br />I , ei certify that the Nebraska Depanrnent of Revenue has complied with the laws 01 the State of Nebraska in determination of the <br />Revenue Agent 09/06/2016 (407)471 -6067 <br />Title Date Phone Number <br />ronald.despinsAnebraska.gov <br />Email Address 1 <br />• 4 '2i'fc 11 . r2 — q " Revenue Senior Agent / - `�" /4a <br />ALthorized Signature � . Tine Date 4- 232 -1968 Rev, 1-2015 <br />Supersedes 4- 232a860 Ray.6 -2014 <br />