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Jul 9.2c>1 3:37FM NE - r tars .t S <br />08 <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 />11756802 <br />Lien Serial Number <br />11792324 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />Lien filed With <br />Secretary of State, Register of Deeds <br />Business Name and Location Address <br />Tax 'Years 2016, 2017 <br />U.CC Instrument Number 99177975319 County Instrument Number 201706041 <br />® Termination of Trot The State Tax Lien is hereby fully terminated. <br />Lien <br />I hereby certify that the Nebreslm Department of Revenue has compiled with the awe of the Slate of Nebraska in determination of the <br />nllnuatlon, teytjpation, partial relea or subordlnalion indicated above, <br />Preparer's Signe <br />brandon_brovin <br />ebraska._ov <br />email Ad <br />BE <br />thorized Signature <br />Type of Action <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />rue <br />Social Security Number <br />XXX-XX-3639 <br />Dale of Lien <br />08/21/2017 <br />Tex Program <br />1 <br />NI fsu of <br />Please Do Not Write In This Space <br />PATRICK MCCLURE <br />817 WEST 3RD ST <br />GRAND ISLAND NE 68801 <br />0579 F. <br />SYa4s Jole A <br />Sale - UGC T09 <br />Pos- <br />9818815262 -3 <br />MICCLURE PRTPICK <br />Filed; 07/es/20113 01:59 PM <br />747 /P <br />Dale <br />Spouse's Social Security Number <br />County <br />HALL <br />Tax 3ayer Name and Mailing Address <br />07/06/2018 (402)471 -6067 <br />Dale Phone Number <br />4- 232 -1966 Rev. 1 -2015 <br />Supersede$ 4-2920969 Rev. 6-2014 <br />