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201700515
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Last modified
7/3/2017 5:40:21 PM
Creation date
1/24/2017 4:14:15 PM
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DEEDS
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201700515
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Nebraska Ideniik tion Number <br />36330981 <br />Federal Identification Number <br />Social Security Number <br />XXX - XX - 7247 <br />Spouse's Soc al Security Number <br />Lien Serial Number <br />11558197 <br />Lion flied with Register of Deeds <br />Date of Lien <br />09/23/2015 <br />Tax Category <br />22 <br />County <br />HALL <br />1 BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />JEFFREY M REIS <br />4145 MANCHESTER ROAD <br />GRAND ISLAND NE 68803 <br />) an, 24. 2417 J:JJPM NE Secretary o f 'State - UCC Nu. 9395 P. 2, 2 <br />TERMINATION OF TAX LIEN. The State Tax Llen Is hereby fully terminated. <br />TAX YEARS 2010, 2011, 2012 <br />(corporate, Individual income, and withholding tax only) <br />PARTIAL RELEASE. The State Tax Lien is partially released es follows: <br />TAX YEARS <br />(corporate, individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />sign <br />here <br />Signature <br />201700515 <br />;h�breaM.�eb�rr.rerrcey State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Lien 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 />Revenue Su• wiser <br />Title <br />Type of Action <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number 99157613713 <br />County Instrument Number 201506597 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />NE Sec of Mote John R S.l. - UCC TW9 <br />0 --6 P ®s : 1 <br />REIS iled: 51// /2017 01:29 Ph <br />01/23/2017 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In <br />dete� - lion of nation, partial release, or subordination Indicated above. <br />/ ... venue Agent 01/23/2017 (402)471 - 6043 <br />' = s S !' i ' We Date Telephone Number <br />i � <br />Date <br />423248 Rev. &B8 Supereoaee 429290 Rev. 10.86 <br />
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