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Jun.15. 2018 3:25PM NE Secretary 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 />12135372 <br />Lien Serial Number <br />11678730 <br />Tax Years 2015 <br />UCC Instrument Number ( 99167814165 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />474983449 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Business Name and Location Address <br />201803828 <br />Please Do Not Write In This Space <br />Social Security Number <br />XXX -XX -0682 <br />Date of Lien <br />10/07/2016 <br />Tax Program <br />1 <br />N . 4699 P. 2 <br />NE Lee of 5l.i. Jahn H G.L, <br />county <br />HALL <br />99 18813788 -5 <br />Flied: be All <br />Spouse's Social Security Number <br />Taxpayer Name and Mailing Address <br />RAMIRO Y LA"ROSA PEREZ" -- - - <br />1021 WEST LOUISE ST <br />GRAND ISLAND NE 68801 <br />County Instrument-Number. 201606941 <br />Type of Action <br />J <br />® Termination of Tax <br />Lien <br />Co <br />Email Address <br />The State Tax Lien is hereby fully terminated" <br />hereby certify that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in determination of the <br />nuation, termination, partial rel =;s= orsubordinaii. indicated above, <br />a e Signature <br />sandra.aleason(a nebraska.zov <br />• uthorlzed re <br />Title <br />Revenue Senior Agent <br />Title <br />11 (402)471 -5727 <br />Date Phone Number <br />UGC Tea <br />a <br />P9s: <br />6 13 .- <br />Date 4.232.1966 Rev. 1 -2015 <br />8upereeriee 4232.1968 Rev 6 -2614 <br />