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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 subord'nated, to the extent indicated below. <br />Please Do Not Write In This Space <br />Nebraska 10 Number <br />10290958 <br />Federal ID Number <br />Social Security Number <br />XXX-XX -9614 <br />Spouse's Social Security Number <br />XXLXX -0022 <br />Lien Serial Number <br />11331565 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Dale al Lien <br />04/30/2013 <br />Tax Program <br />01 <br />County <br />HALL <br />Business Name and Location Address <br />Tax sayer Name and Mailing Address <br />Oct. 27. 2017 3:31FM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2010 & 2011 <br />UCC Instrument Number 13715765 <br />Type of Action <br />If Termination of Tau <br />Licn <br />reby certify Ihal the Nebraska Department of Revenue hea compiled with the taws of the State of Nebraska In determination of the <br />con' atior l: ina0an,gartial release, or subordination indicated above, <br />Prepa = 's Signature <br />cnYfi <br />Em <br />mi l, - % r'4' <br />Authi4i ed Signature <br />1a(cpcbraska.gov <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />The State Tax Licn is hereby fully terminated. <br />rese <br />C Y <br />Revenue Supervisor 10/26 /7017 (402)471 - <br />Date Phone Number <br />Title <br />Revenue Supervisor <br />Tulle <br />DONN & VICTORIA. HICKOK <br />PO BOX 133 <br />CAIRO NE 68824 <br />County Instrument Number 201304128 <br />b.c or skm i• ]ohn a Gele - UCC T MS <br />I <br />9917800747 -2 <br />HICKOK DONN <br />Flled: 10/27/2017 m9 43 AN <br />PBS: <br />4- 292 -1968 Rev, 1 <br />superaeaee 4- 232.1068 Rev. 6-2014 <br />