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Nebraska Identification Number <br />39211096 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -4006 <br />Spouse's Social Security Number <br />XXX -XX -4953 <br />Lien Serial Number <br />Date of Lien <br />Tax Category <br />County <br />11666496 <br />Lien flied with Register of Deeds <br />03/02/2016 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />PAUL PANKONIN <br />JESSICA PANKONIN <br />1016 PLEASANT VIEW DRIVE <br />GRAND ISLAND NE 68601 <br />Oct. 28. 2016 2:51FM NE Secretary Df State - UCC <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Llen 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 extent Indicated <br />below. <br />PARTIAL RELEASE. The State Tax lien Is partially released as follows: <br />TAX YEARS <br />(corporate, Individual Income, and withholding tax only) <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />201607190 <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />0. 8584 F. 2 <br />NE Sac of 54. {e John p Gil. - UCC TOB 11H <br />9918731903 -8 Pge: 1 <br />PANKONIN iEssIcq <br />Filed: 10/20/2016 12 :44 PM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />8vr ra:Y:;9ioyyrlrrt:nla! State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />www.P.>,elvv4. :1.. ,yf,v <br />Subordination <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 99167696529 <br />TAX YEARS 2012, 2013 County Instrument Number 201601306 <br />(corporate, individual income, and withholding tax only) Continuance; UCC Instrument Number <br />Continuance: County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determi , bon of the termination, partial release, or subordination indicated above. <br />Revenue Agent 10/26/2016 (402)471 - 6043 <br />Tills Date Telephone Number <br />Revenue Supervisor _ 10/26/2016 <br />'zed Sign: Title Date <br />4-232.68 Rev. 0-95 Supeaves 4.232-59 Rev 10-95 <br />