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ay. 23. 2015 3:53PM NE `'e retary of State — UCC <br />Nebraska Department of <br />REVENUE <br />Pursuant to the revenue laws of the State of Nebraska, the <br />Tax 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 />Nebraska ID Number <br />10290958 <br />Lien Serial Number <br />11331568 <br />Tax Years 2011 & 2012 <br />UGC Instrument Number <br />® Term ination of Tax <br />Lien <br />brandon.brown(alnebraska.Qov <br />Emae Address <br />Federal ID Number <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Business Name and Location Address <br />9913715759 -5 <br />The State TO Lien is hereby fully termineted- <br />201803260 <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Please Do Not Write In This Space <br />Social Security Number <br />XXX-XX-3049 <br />Date of Lien <br />04/30/2013 <br />Tax Program <br />01 <br />VERNE 0 > TICKOK <br />412 SUEZ ST <br />CAIRO NE 68824 <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />County Instrument Number 201304122 <br />No, 4471 • F. <br />NI See of p■a4e John A Sole - UGC re <br />1 Eli <br />9918a12Z57 - 9 Pus: <br />HICKOCK VERNE 0. <br />Filed: 00/23/2019 10:03 AM <br />Spouse's Social Security Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />Revenue Agent 05/21/2018 (4021471 -6067 <br />preparer's Signature Title Date Phone Number <br />Revenue Senior Agent .- /1 (oZ Oil <br />Title Date 4- 232.1999 Rev. 1-2016 <br />Supersedes 4- 232.1969 Rev, 04014 <br />