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00 <br />• Jun. 1. 2018 11 00AM •NE Secretary f State — UCC N.. 4580 - - -. F. <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 Lien Flied With <br />11331569 Secretary of State, Register of Deeds <br />Business- Name - and- L-oeation 1 idress <br />Tax Years 2010 & 2011 <br />UCC Instrument Number 99137I57583 <br />Ei Termination of Tax <br />Lien <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />The State Tax Lien is hereby fully terminated. <br />brand on.browttta'�,nebraska _gov <br />Email Address <br />201803454 <br />SOCial security Number <br />XXX- XX -8 -30 <br />Date of Lien <br />04/30/2013 <br />Please Do Not Write In This Space <br />kEZiE o i- jul<.olr <br />412 SUEZ ST <br />CAIRO NE 68824 <br />County Instrument Number 201304121 <br />� n+- Revenue Senior Agent /off O( <br />Au lhorizsd na ute Title Date <br />111191151/111111111.1 C <br />9918812901 - 6 Pea: 1 <br />HICKOK VERNE 0. <br />Filed: 06/r1/2010 09:41 RI.1 <br />Spouse's Social Security Number <br />Tax Program County <br />01 HALL <br />Taxpayer Name -and Mailing Address <br />Type of Action <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 (402)471 -6067 <br />Preparers Signature Title Date Phone Number <br />4- 232.1966 fiev 1 -2015 <br />Supersedes 6- 232 -1866 Rev. 6-2014 <br />