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Nebraska Identification Number <br />43148670 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -8281 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11679109 <br />Lien filed with Register of Deeds <br />Date of Lien <br />10/18/2016 <br />Tax Category <br />22 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />CLIFFORD H SHAFER <br />715 W 3RD ST <br />GRAND ISLAND NE 68801 <br />Feb. 24. 2017 2:34FM <br />201701207 <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Llen which has been duly flied 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 />Type of Action <br />O PARTIAL RELEASE. The State Tax Llen Is partially released as follows; <br />TAX YEARS <br />(corporate, individual Income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. <br />evenue Su c ervisor <br />E Sec of Stata John R <br />1 <br />9917787670 —i <br />SHAFER CLIFFORD H <br />Filed: 02/24/2017 12:27 PM <br />State Tax Lien Statement of Termination or <br />m�ere.,.►�, r+x�ynn.e� wr <br />REVE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />® TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. UCC Instrument Number 67814eBo <br />TAX YEARS 2013 County Instrument Number 201606996 <br />(corporate, Individual income, and withholding tax only) Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />UCC instrument Number <br />County Instillment Number <br />UCC Instrument Number <br />County Instrument Number <br />No. 3610 P. 2 <br />l hereby certify that e Nebraska Department of Revenue has complied with the revenue laws off ht a State of Nebraska in <br />d ination of the 'nation, - / al release, or subordination indicated above. <br />sign --W M- / I 5 - venue Agent 02/222017 (402)4715789 <br />here Prepay s Signature ' 1 tie Date Telephone Number <br />02/222017 <br />orized Signature Title Date <br />4- 292-99 Rev. 9-46 Supersedes 4 -292 -68 Rev.1055 <br />