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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 Llen <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 />11704187 <br />Federal ID Number <br />900922598 <br />Social Security Number <br />XXX -XX -4812 <br />Spouse's Social Securily Number <br />Lien Serial Number <br />11674366 <br />Lien Hied With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />(17/20/2016 <br />Tare Program <br />21 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Oct. 21. 2016 3:59PM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Tax Years 2015, 2016 <br />UCC Instrument Number 99167783461 County Instrument Number 201605224 <br />Type of Action <br />® Termination of Tex The State Tax Lien is hereby fully terminated. <br />Lien <br />I hereby certify that the Nebraska Department of Revenue has compiled with the Taws of the State of Nebraska In determination of the <br />continuation, termination, partial Mess rordinatlon Makatea above. <br />facygilikOraljgrdlgeat_____ 10/1R/ t_402)471 <br />e Date Phone Number <br />sandra g1easan@ne <br />k4 .gov <br />EJnaII <br />orized Signature Ttle <br />Revenue Senior Agent <br />N 2Q94 6 Q 723 6 <br />He i- %i. - John 4 6-rr - uce T01 <br />I 1 <br />NORMA SANCHEZ <br />1116 W OKLAHOMA AVENUE <br />GRAND ISLAND NE 68801 <br />9916781549 -e pgs. <br />SANCHEZ NORMA <br />Filed: 10/21/2016 02.29 PM <br />Dale 4.232 - 1958 Rey. 1 <br />Supersedal 4- 232 -19Ba Rev. 6-2014 <br />