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Nov. <br />C� <br />2017 4:16PM NE Secretary of State — UCC <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />■ TERMINATION <br />Employer or <br />Liable Person: Jason Lawhorne & B on Runnfeldt f/d/b /a Lawhorne Construction <br />Address: 710 Kimball Grand Island NE 68801 <br />NDOL Acct. No.: 0296856007 <br />Federal ID No. / SSA No.: 41- 2053034 <br />201707 7 4 9 2 0 <br />MW ire eF Sieie John q Gale . Sit[ rag <br />1 1 r <br />9817800859 -1 <br />E . <br />LAWHORNE JASON <br />Filed: 11/02/2017 10 :52 AM <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />ershi <br />• <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person. This Termination is fled pursuant to Neb. Rev. Stat. § §48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Star. §77 -3901, et seq.). <br />X I FULL Termination I PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />n/a <br />X certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska <br />in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />Date: November 1, 2017 <br />LIEN TO BE TERMINATED: <br />By: <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />1'.O. Box 94600 <br />Lincoln, NE 60509-4600 <br />JOAN H. ALBIN <br />Commissioner of Labor <br />County: Hall <br />County Document Filing No.: 0807000501 <br />NDOL Serial No.: LAB- 0020 -2007 <br />State Tax Lien Document No.: 9907491166 -4 <br />Other Filing Information: Orig. Filed Co. January 22, <br />2007 @ 10:27 AM, # 200700501 <br />'KATIE S. TH RBER, Agency General Counsel <br />TADOCL. 1MENTS \FORMS\Liens \Tennination.doex THOMAS A. UKINSKI, Legal Counsel <br />NEBR. DEFT. OF LABOR <br />CHARGE ACCT. #1476 A ( , <br />