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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 subord to the extent indicated below. <br />Please De Not Write In This Space <br />Nebreaka 10 Number <br />8923027 <br />Federal ID Number <br />Social Security Number <br />XXX -7X -8675 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11428224 <br />Llen Flied With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />01/23/2014 <br />Tax Program <br />01 <br />County <br />HALL <br />I_ Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Nov. 17. 2016 2:58FM NE Secretary of State — UCC 0. 8797 P. 3/3 <br />Nebraska Department of <br />REVENUE <br />Tax Years 2010, 2011 & 2012 <br />UCC instrument Number 99147297442 <br />® Termination of Tax <br />Lien <br />The State Tax Lion is hereby fully terminated. <br />Email Addr a <br />reparers Signature <br />rona1d.despins(incbraska.eow <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Authof gnature <br />201607721 <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />Title <br />KATHLEEN C. DAVIDSON <br />226 W. STOLLEY PARK RD <br />GRAND ISLAND NE 68801 <br />County Instrument Number 201400544 <br />NR See of lieka John, A 6.1. - UGC T0 <br />9916782845 -5 Pea: 1 <br />DRVID8ON KATHLEEN C. <br />Filed: 11/17/2018 1024 AM <br />1 hereby certify that the Nebr. .: Department of Revenue has complied with Me laws of the State of Nebraska in determination of the <br />conk 7 on, termination, peril e, or subordination indicated above. <br />I /A/70Zfr (402)471 - 6067 <br />Date Phone Number <br />JI i / <br />Date <br />Type of Action <br />4. 232 -Ieee Feu.1 -2015 <br />Superseese 4 -232 -1988 Rev. 6-2014 <br />