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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 />Please Do Not Write In This Space <br />Nebraska ID Number <br />11335114 <br />federal ID Number <br />454543472 <br />$octal Security Number <br />XXX -XX -2554 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11592756 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />05/20/2015 <br />Tax Program <br />1 <br />County <br />HALL <br />Business Name and <br />Location Address <br />Taxpayer Name and Mailing Address <br />Jul. 18. 2017 2:27PM <br />0 t0t70478g- <br />Nebraska Department of <br />REVENUE <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Tax Years 2012, 2013, 2014 <br />UCC Instrument Number 99157554755 <br />r e of Action <br />The State Tax Lien is hereby fully terminated. <br />® Termination of Tax <br />Lien <br />I hereby certify that the Nebraska D- • = went of Revenue has complied with the laws of the State of Nebraska in determination of the <br />conti ; n, termination, partial relea= bordlnallon Indicated above. <br />• <br />eparefs Signature <br />WAYNE OSGOOD <br />PO BOX 5882 <br />GRAND ISLAND NE 68802 <br />Title <br />County Instrument Number 201503722 <br />ronald_ des • in <br />small Nddress <br />Revenue Senior Agent <br />Title <br />o. 4120 F. 2/2 <br />NE Tom= of 5tnte John a Gate - ucc Te9 <br />99t779516A - 2 Pas: 1 <br />OSGOOD WAYNE <br />Filed: 07110/2017 11:10 AM <br />07/11/2017 (402.)471 -6067 <br />Date Phone Number <br />7 —IV' /7 <br />D 4- 232 -19ea Rem 1-2015 <br />Superseeea 4.232 -196e Rev. 64014 <br />