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cv. 16. 2616. 3:23P <br />Nebraska Department of <br />-REVENUE <br />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 />Nebraska ID Number <br />8923027 <br />Lien Serial Number <br />11043927 • <br />Tax Years 2009, 2010 <br />UCC Instrument Number 9910636458 - <br />® Termination of Tax <br />Lien <br />• <br />Business Name and Location Address <br />The State Tax Lien, is hereby fully terminated. <br />thereby Certify that the Nebraska <br />It Signature <br />. • Email AdOreSe <br />' ,Authorized Signature <br />Vl NE Secretary cf State — UCC <br />State Tax Lien - Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />ronald.desp i ns(cncbraska.lov <br />Lien Filed With <br />Secretary' of State, Register of Deeds <br />Revenue Agent <br />nue <br />Please Do Not Write In This Space <br />Social Security Number . <br />XXX-XX-8675 <br />Date of Lien .' <br />08/22/2010 <br />Tax Program <br />01 <br />2 NQ .7 3O 7F7 944 <br />NE see of El.i. John q' 6.1. - ucc Tog <br />9916782785 -7 . Poe: <br />DAVIDSON KATHLEEN C. <br />Filed! 11/1B/2016 10 :44 AM <br />County .; <br />HALL <br />KATHLEEN C DAVIDSON <br />2120 CHANTICLEER <br />GRAND ISLAND NE 68801 <br />County Instrument Number 201006358 <br />Type of Action <br />Spouse's Social Security Number <br />Taxpayer Name and Mailing Address <br />admen( of Revenue has complied with tne taws of tha,State of Nebraska in determination 01 the <br />can lion, termination, partial re subordloallon Indicated above. <br />- 1.09/ 2016 (402)471 -6067 <br />Data Phone Number <br />4- 232 -1966 Rev. 1-2015 <br />Sup¢r -,cues 4. 232 -1966 Rev. 6-2014 <br />AD <br />