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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 />Netxaska ID Number <br />10290958 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -9614 <br />Spouse's Social Security Number <br />XXX -XX -0022 <br />Lien Serial Number <br />11331551 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of LIen <br />04/30/2013 <br />Tax Program <br />001 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Oct. 6. 2017 3:01PM NE Se:retary cf Stag — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2010 & 2011 <br />UCC Instrument Number 99137157660 <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Type of Action <br />Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />1)t ereby ity that the Nebraska Department of pevenue hee Contptied with the laws of Ma State of Nebraska in determination or the <br />liot alion, ase, or subordination indicated above. <br />P' Pr pa's Signature <br />jem.fia @nebraska.xov <br />Email -as , 9)1 <br />) Autho'zed Signature <br />r,00 <br />Revr Supervisor <br />Tale <br />DONN & VICTORIA HICKOK <br />PO BOX 133 <br />CAIRO NE 68824 <br />County Instrument Number 201304129 <br />20 1./ 682 <br />NC iec of S+• +o John A A. e - ecc Tag <br />9917799327 -6 Psis . I <br />HICKOK DONN <br />Filed: 10106/2ta17 11 :06 nti <br />10/04/7017 (40471-5706 - <br />Dale Phone Number <br />Revenue Supervisor <br />Title Oet 1 -23 -1958 Rev. 1.2015 <br />Supersedes 4- 232 -1968 Rev. 6-2014 <br />