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Jul. 11. 2017 1:28FM <br />Nebraska Department of <br />REVENUE <br />Nebraska I0 Number <br />99360462 <br />Lien Serial Number <br />11679297 <br />201704619 <br />No. 4069 F <br />ttj t ■c of Stat. Jvhn <br />9917794784 - 1 <br />STONE TIMOTHY <br />Filed: 07/11/2017 10:42 RN <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <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 />Federal ID Number <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Business Name and Location Address <br />Tax Years 2013 <br />UCC Instrument Number 99167816309 County Instrument Number 201607063 <br />Z Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lion <br />Type of Action <br />Please Do Not Write In This Space <br />Social Security Number <br />XXX -X -653 <br />Date of Lien <br />20- OCT -16 <br />Tax Program <br />22 <br />Spouse's Social Security Number <br />XXX-XX-0217 <br />County <br />HALL <br />Taxpa er Name and Mailin r Address <br />WHITNEY NEY STONE <br />TIMOTHY STONE <br />416 S EDDY ST <br />GRAND ISLAND NE 68801 <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State at Nebraska Irt determination of the <br />ooft linuation, termination, partial release, or subordination indicated above. <br />• <br />urI 9 <br />�/vrVVJ ,rr <br />, Preparer's Signature <br />Chris -m cgovernAnebraska -gov <br />Email Ad ress <br />Aut prized Signature <br />Revenur.Agent 064111. 47 (407)471 -5711 <br />Title Date Phone Number <br />Ttle <br />venue Supervisor <br />06-JUL -17 . <br />Date <br />fl Gax. - UCC 7G. <br />Pas: <br />d -232 -1e6e Flay, 1-2015 <br />Supersedes 4- 232 -1968 Rev, t -2014. <br />