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(0% <br />NOV, 17. 2517 4 18P NE Secretary of State — UCC 201707910 <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />Employer or <br />Liable Person: Katherine Patton <br />Address: 3886 Montego Drive Huntington Beach CA 92649 <br />NDOL Acct. No.: 0334798002 <br />Federal ID No. / SSA No.: xxx.- jx-4035 <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 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 />I X FULL Termination I I PARTIAL Release <br />Property description (ONL Yif PARTIAL Release): <br />n/a <br />Date: November 16, 2017 By: <br />LIEN TO BE TERMINATED: <br />NDOL Serial No. : <br />JOHN IL ALBIN <br />Commissioner of Labor <br />County: Hall <br />LAB- 0163 -2014 <br />State Tax Lien Document No.: 9914739790 -1 <br />County Document Filing No. 0814004754 <br />Other Filing Information: Orig, piled Co August 1, 2014 <br />@ 2:03 PM # 201404754 <br />I 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 />TIE S. THURBER, Agency General Counsel <br />T:1 DOCUMENfSTORMS \LienslTermination.docx THOMAS A. UKCNSEIi, Legal Counsel <br />E Svc aF Sale Jahn R 6.1 c - UCC T ®9 <br />8917801831 -2 POs: 1 <br />PATTON KATHERINE <br />Filed: 11117/2017 03 :61 PM <br />NDOL Office of Legal Counsel <br />P.O. Boar 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR <br />P.O. Box 94600 CHARGE ACCT. #147 <br />Lincoln, NE 60509 .4600 <br />