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Nebraska Identification Number <br />98512943 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -6353 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11306701 <br />Lien filed with Register of Deeds <br />Date of Llen <br />09/20/2013 <br />Tax Category <br />22 <br />County <br />HALL <br />I BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />REBECA J PENNER <br />816 WINDRIDGE AVE <br />GRAND ISLAND NE 68803 <br />Mar, 1. 2017 2:54FM = N1, 3632 ' F. 2 <br />201'701321 <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 />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Numbe 991372340 <br />TAX YEARS 2009, 2010, 2011, 2012 County Instrument Number 201307908 <br />Continuance: UCC instrument Number <br />Continuance: County Instrument Number <br />(corporate, individual income, and withholding tax only) <br />Type of Action <br />G PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />SUBORDINATION, <br />sign <br />here <br />4r <br />i uriz Vgnature f <br />State Tax Lien Statement of Termination or <br />?lebraaka DsnarbnerA e <br />REVENUE Certificate of Partial Release or <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />9917787910 -1 P9s <br />PENNER REBECA J <br />Fi1ad: 03/01/2017 09;47 AM <br />PLEASE RETURN To: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />County instrument Number <br />The State Tax Lien is subordinated as follows. UCC instrument Number <br />County Instrument Number <br />NE See of EAtOos loh. A G.la - UCC TN <br />I here .y certr at the Nebraska Department r Revenue has complied with the revenue awe + the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />0222/2017 <br />Date <br />123)632 -1203 <br />Telephone Number <br />02/22/2017 <br />Date <br />1.29289 Rev. A -96 Supersedes 402 - Rev. 10-95 <br />