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201700716
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1/31/2017 4:14:45 PM
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1/31/2017 4:14:45 PM
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201700716
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Jan. 31. 2017 3:J9PM NE Secretary of State — UCC No, 9473 F. 4 <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 1D Number <br />8960216 <br />Lien Serial Number <br />11323005 <br />Business Name and Location Address <br />Tax 'Years 2010, 2011 & 2012 <br />UCC Instrument Number 99137114824 <br />1 <br />Type of Action <br />1 <br />Termination of Tax <br />Lien <br />J1_ — <br />I hereby certify that ltte Nebras <br />emit! n. termination, partial = s <br />eparer's Signature <br />ronatd.des • ins <br />Email ddress <br />20 1 007 6, NE Sec or 54mta Jvhn A Dale ■ uC[ 7e <br />9917786160 -5 Pga: 1 <br />OARTELS RYAN <br />Flied: 01/3112017 11 :19 AM <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />200787306 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />The State Tax Lien is hereby fully terminated. <br />nebraska. ov <br />J 1 <br />�y(uttictr�e�5i nature <br />1%* <br />Social Security Number <br />XXX - XX - 1326 <br />Date of Llen <br />02/28/2013 <br />Please Do Not Write In This Space <br />Tax Program <br />21 <br />Spouse's Social Security Number <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />RYAN EARTELS <br />2416 OVERLAND TRAILS CTR <br />GRAND ISLAND NE 68802 <br />County Instrument Number 201302374 <br />pennant of Revenue has complied with (ha laws of the State of Nebraska in determination of the <br />or subord nation indicated above, <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />Title <br />01/26/2017 (402)471 - 6067 <br />Date Phone Number <br />1 <br />( -2 / 7 <br />D 1- 232.19&e Reg. 1 - 2015 <br />Superman 443z -195e Rev, 5 <br />
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