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201706822
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Last modified
10/6/2017 3:00:29 PM
Creation date
10/6/2017 3:00:29 PM
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DEEDS
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201706822
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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 />10290958 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -9614 <br />Spouses Social Security Number <br />XXX -XX -0022 <br />Len Serial Number <br />11331566 <br />Lien Flied Wiwi <br />• ecretary of State, Register of Deeds <br />Date of Gen <br />04/30/2013 <br />Tax Program <br />01 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailin Address <br />Oct. 6. 2017 01PM NE Secretary .f state — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2010 & 2011 <br />UCC Instrument Number 99137157646 <br />Type of Action <br />® Termination of Tax <br />Liei't <br />i <br />P Preps rs Signature <br />Em <br />DONN & VICTORIA I-1ICKOK <br />PO BOX 133 <br />CAIRO NE 68824 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />The Stare Tax Lien is hereby fully terminated.. <br />County Instrument Number 201304127 <br />2 0 -1 9G82 4 <br />Ii6 Sec of 5 +e1. daM R aa144 <br />UCC Tea <br />8917 709329 -0 <br />HIckoir DONN Ns, 1 <br />Filed, 10/05/2017 11:08 PM <br />hereby certify that the Nebraska Department of Revenue has complied with the laws of the Scale of Nebraska in determination of the <br />bon, bon, p ase, or subordination indicated above, <br />Revenue Supervisor <br />Title <br />Authorized Signature <br />nebraska. ov <br />Revenue Supervisor <br />Title <br />10/04 /7017 (402)471 -5706 <br />Date Phone Number <br />Data <br />17 <br />4-232-1966 Rev. 1 <br />Suneisedeir 4.232.1966 Aev. 6-2014 <br />,A <br />
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