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0 <br />Nov. 17. 2017 4:18PM NE Secretary of State — UCC <br />Employer or <br />Liable Person: <br />Address: <br />NDOL Acct. No.: <br />Federal ID No. / SSA No.: <br />I X j FULL Termination <br />nla <br />Katherine Patton <br />3886 Montego Drive Huntington Beach CA 92649 <br />0334798002 <br />xxx-xx- 8231 <br />PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />Date: November 16, 2017 By: <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.O. Box 94600 <br />Liucole, NE 68509-4600 <br />LIEN TO BE TERMINATED: <br />JOHN H. ALEIN <br />Commissioner of Labor <br />County: Hall <br />N i Sue el s • John <br />z 006 s` <br />9917801830 -0 <br />Uee T ®9 <br />PATTON KATHERINE 1 <br />Flitd: 11/17/2017 03:57 PM P98: <br />STATE TAX LIEN a NEBRASKA DEPARTMENT OF LABOR <br />■ TERMINATION <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 />This TER.M]NAT1ON 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 filed pursuant to Neb. Rev. Stat. § §48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). <br />NDOL Serial No.: LAB- 0077 -2014 <br />State Tax Lien Document No.: 9914734589 -9 <br />County Document Filing No.: 0814002450 <br />Other Filing Information: Orig. Filed Co April 28, 2014 <br />@ 8:56 AM # 201402450 <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law or 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 />• <br />TIE S. THURBER, Agency General Counsel <br />T:I DOCUMENTS TORMS\l,iens \Terminerion.docx THOMAS A. UKINSKI, Legal Counsel <br />NEBR. DEPT. OP LABOR <br />CHARGE ACCT. #1476 <br />