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Apr. 13. 2017 2:20FM NE Secretary of State — UCC <br />X <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />Employer or <br />Liable Person: Lori G. Kraft <br />Address: 3630 S. Locust Street Grand Island, NE 68801 -8825 <br />NDOL Acct. No.: 00 06756 000 <br />Federal ID No. / SSA No.: x x -xx -2702 <br />FULL Termination <br />PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />n/a <br />Date: April 13, 20I7 By: <br />T;I DOCUMENTS \ORIv1S Licnsactmination.docx <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />201'702331 <br />LIEN TO BE TERMINATED: <br />JOHN IL ALBIN <br />Commissioner of Labor <br />County: Hall <br />KATIE S. THURBER, Agency General Counsel <br />THOMAS A. UKINSKI, Legal Counsel <br />DALE M. SHOTKOSKI, Legal Counsel <br />Nc.0429 F. 2 <br />I Soe of Skate .Ivhn A (Solo - UGC <br />9911790335 -6 Pys: <br />KRAFT LORI G. <br />Filed; 04/13/:2 ®17 01:47 PIS <br />NDOL Serial No.: LAB- 0029 -2017 <br />State Tax Lien Document No.: 9917789413 -9 <br />County Document Filing No.: 0817001902 <br />Tog <br />Other Filing Information: Orig. Filed Co March 28, 2017 <br />@ 3:03 PM # 201701902 <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person. This Termination is filed pursuant to Neb. Rev. Scot. § §48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska <br />in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />Chkr <br />