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Mar. 27. 2018 3:07PM NE Secretary of State X n/a STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR TERMINATION Employer or Liable Person: Address: NDOL Acct. No.: Federal ID No / SSA No.: FULL Termination Property description (ONLY if PARTIAL Release); Date: March 23, 2018 Charlene R. Rathjen 1504 W Ave. Grand Island, NE 68801 0288410005 xxx -xx -8728 This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the affected property of this employer or person. This Termination is filed pursuant to Neb. Rev. Stilt. § §48 -657, 48- 660.01, 48 -664, and the Uniform State Tax Lien Registration & Enforcemmt Act (Neb. Rev. Stat. §77 -3901, at seq.). LIEN TO BE TERMINATED: PARTIAL Release I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. By: 20180190 JOHN H. ALBIN Commissioner of Labor County: I1all No. 0264 P. 2 NI see of $454. Jelin N Nala - 9918808173 -5 RATHJEN CHARLENE R. i1ed: 03/27/201e 09:37 AM NDOL Office of Legal Counsel P.O. Box 94600 Lincoln, NE 68509 -4600 Telephone - (402) 471 -9912 FAX - (402) 471 -9917 NDOL Serial No. : LAB -* I - 018 State Tax Lien Document No. 9918807275 -0 County Document Filing No.: 0818001406 KATIE S. ER, Agency General Counsel - L: \ncral THOMAS A. UKINSKI, Legal Counsel Co nsenc$ anU OCO MENTSWOEMS \Liens\Tammation.docx LIBBY K. ELDER, Legal Counsel ucC 11111 Poo: i Other Piling Information: Orig. Filed Co. March 7, 2018 @ 4:30 # 201801406 RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR P.O. Box 94600 CHARGE ACCT. #147(