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202000217 <br />NE Sec of State - Robert B. Evncn <br />Filing Document #: 2001000466-5 Pages: 1 <br />Debtor Name: KIMBERLY A. WISEMAN <br />Filing Dale and Time: 01 /10/2020 09:58 AM <br />STATE TAX LIEN . NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln, NE 685094600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or Liable Person: i Kimberly A. Wiseman <br />Address: j 103 Beachwood Drive Grand Island, NE 68803 <br />NDOL Serial No.:LAB-0178-2014 <br />NDOL Acct. No.: { xxxxxx6005 <br />Federal ID No. / SSA No.: ; xx-xxxnia / xxx-xx-4498 Hall <br />To be filed In the State Tax Lien Register maintained by the <br />Register of Deeds In the following County/Counties: <br />State Tax Lien to be TERMINATED: <br />STL Document Number: STL Date <br />County Filing Number: <br />County Date / Time: <br />9914742153-6 <br />9/19/2014 ? 10:33am <br />201405959 09/19/2014 cF 3:06pm <br />I CERTIFY that this TERMINATION serves to remove the lien described above and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person, and that it is filed pursuant to Neb. Rev, Stat. §§48-65T, 48.860.01, 46-664, and the Uniform State <br />Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. S77-3901, er seq.). <br />Date: January 7, 2020 By: <br />JOH loner of Labor <br />ES.T U <br />BY K. ELDER, Leg <br />ARROD S. BOITNOT <br />OctINrNTSei`sna Tp, LleretS&We Ter LivuYCi 10200 030,01 ,41136 05/, 00.1540' 4 rrn 1K.. <br />Return Filed Copies To: NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln NE 68509-4600 <br />ounsel <br />NE Department of Labor <br />Charge Account #14765 <br />