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Pursuant to the revenue laws of the State of Nebraska, the <br />TeX 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 IL) Number <br />94075611 <br />Federal Id Number <br />Social Security Number <br />XXX -XX -3301 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11671841 <br />Lien piled With <br />Secretary of State, Register of Deeds <br />Data of Lien <br />25- MAY -16 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Mar, 15. 2018 3:25PM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2014 <br />UCC Instrument Number 99167747023 <br />Type of Action <br />® Termination of Tax <br />Lien <br />I hereby certify that the Nebraska Deparlmenl of Revenue has complied with the laws of the State of Nebraska In det o1 the <br />continuation, termination, partial release, or subordination indicated above. <br />Preparer'S Signature <br />201801618 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />The State Tax Lien is hereby fully terminated. <br />Revenue Agent <br />Tine <br />0 P 2 <br />fL I I 11i // 3 11 1 1 1 1 / I t1 iI II I i <br />GcRTZ Filed. oa/15/2018 sc. I <br />//15 /2018 09;41 RN <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />BIANCA y r OERTZ <br />516E 10TH STREET <br />GRAND ISLAND NE 68801 <br />County Instrument Number 201603398 <br />diane, rickardAnebraska.gov <br />Email Address <br />09 (308)632 -1206 <br />Date Phone Number <br />4-232 -Ieee Rev. 1 <br />6uperagCea 4.232 -1068 R@Y. 6-2014 <br />