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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 IP Number <br />Social Security Number <br />XXX-XX-9614 <br />Spouse's Social Security Number <br />XXX -XX -0022 <br />Lien Serial Number <br />11593966 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />08/18/2015 <br />Tax Program <br />I, 21 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and <br />Mailing Address <br />Oct. 6. 2017 3:01FM NE Secretary of 'State — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2012.2013 <br />UCC Instrument Number 99157608825 <br />® Termination of Tax <br />Lien <br />, Prepar= 's Signature <br />jcrrv.fia nebraska.gov <br />Erna' ass 422 <br />Autho =d Signature <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Type of Action <br />The State Tax Lien is hereby fully terminated. <br />Title <br />Revenue Supervisor <br />Title <br />DONN & VICTORIA HICKOK <br />PO BOX 133 <br />CAIRO NE 68824 <br />County Instrument Number 201506362 <br />,�1 <br />/1 , <br />Date <br />2O j1 O6F8 <br />NO Sec of 5tota Jnhn A O.I. AG TA <br />9917799329 -2 Pigs. 1 <br />HICKOK DONN <br />riled; 10/06/2017 11!06 QI1 <br />I =r eby certify that the Nebraska Department of Revenue has complied wm the laws of the State of Nebraska in determination of the <br />salon ase, or subordination Indicates above, <br />RevPD11P StIpP,1vjRor 10/04/2017 (402)471 -5706 <br />Dale Phone Number <br />a-aa5 less nee. 1-2015 <br />supersedes -252 -1960 Rev. 64014 <br />