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201700103
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1/5/2017 4:00:28 PM
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1/5/2017 4:00:28 PM
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DEEDS
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201700103
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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 />NebTaska ID Number <br />7009674 <br />i ederal 10 Number <br />470776255 <br />Social Security Number <br />XXX -XX-9068 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11696557 <br />Lien Filed With <br />Secretary of Stare, Register of Deeds <br />Date of Lien <br />02/04/2016 <br />Tax Program <br />1 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Jan, 5. 2017 2.50FM <br />Nebraska Department of <br />REVENUE <br />Tax Years 2014, 2015 <br />UCC Instrument Number 99167687885 <br />Termination of Tax <br />Lien <br />con <br />The State Tax Lien is hereby fully terminated. <br />1 = raby certily that the NebraS <br />on. termination, partial ref <br />parer's Signature <br />rontl.ld.desnins @nebraska.gov <br />Email ' .dress <br />J / /l:A <br />• u 7 < Si•nature <br />Title <br />20 I 7(Oi <br />NE Sac of St.ia John a Gale - <br />DENNIS D. NELSON <br />501 N PINE ST <br />GRAND ISLAND NE 68801 <br />County Instrument Number 201600987 <br />di <br />9917784858 -6 <br />NELSON DENNIS D. <br />Filed: 01/05/2017 09:15 AA <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />e of Action <br />riment of Revenue has complied with the laws of the State of Nebraska In determinallon of the <br />subordination indicated above. <br />Revenue Agent 12/2812016 (402)471 - 6067 <br />Dale Phone Number <br />uGG Toe <br />Pas; <br />I <br />Revenue Senior Agent j —^ /� <br />Title Date 4-232 -1006 esv. t -2015 <br />superseaes 443200ea Rex 64014 <br />
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