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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 lo Number <br />9528717 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -9472 <br />6pouse'a Social Security Number <br />Lien Serial Number <br />11289391 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />07/18/2012 <br />Tag Program <br />01 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />Sep, 19, 2016 1 :48PM NE Secretary of State — UCC <br />cg2 20 <br />Nebraska Department of <br />REVENUE <br />t' <br />Tax Years 2009, 2010, 2011 <br />IJCC Instrument Number 99126959770 <br />® Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />reparer's Signature <br />ronald.despins(a nebraska.l ov <br />Email Address <br />Typ of Action <br />Re ,eque Agent <br />Title <br />2d /` \ 47' Revenue Senior Agent <br />Signature Title <br />NE ftic of Stair lth.h R bale - UC[ T0f <br />9916779952^ -7 Ns, 1 <br />OROZ60 RAFAEL <br />Flied: 09/1A/2016 09:20 AM <br />RAFAEL OROZCO <br />2105 N. NASHVTI Ty <br />GRAND ISLAND NE 68803 <br />County Instrument Number 201205939 <br />No.8014 F. 2 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />I hereby certify mat the Nabr =' apartment of Revenue MC Compiled with the laws of the State of Nebraska in determination of the <br />conli, lion termination, patitai r o r subo+dlnalIon Indlcaled above, <br />09/15/2016 (41471 -6067 <br />Date Phone Number <br />Dale 4. 232 -1955 Rev. 1 -2015 <br />%pereedes 4 - 232 - 198B Rev, 8-2014 <br />