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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2205001186-3 Pages: 1 <br />Debtor Name: TOM ELLISON <br />Filing Date and Time: 05/24/2022 10:04 AM <br />:it 2203838 <br />STATE TAX LIEN . NEBRASKA DEPARTMENT OF VISOR <br />■ TERMINATION <br />NDOL General Counsel <br />P.O. Box 84800 <br />Lincoln, NE 685094600 <br />Telephone - (402)471-9912 <br />FAX - (402) 471-9917 <br />Employer or Liable Person: <br />Address: <br />NDOL Serial No.: <br />NDOL Acct. No.: <br />Federal ID No. / SSA No.: <br />Tom Ellison f/d/b/a. Ellison Enterprises <br />311 West 15th Street Grand Island, NE 68801 <br />LAB -0002-2005 <br />xxl000t4007 <br />To be filed In the State Tax Lien Ftegtster maintained by the <br />Register of Deeds hi the following CountyyCountioc: <br />xx-xxx20221 xxx-xx-9266 <br />Ha8 <br />State Tax Lien to be TERMINATED: <br />STL Document Number. <br />STL tate l Tkne: <br />County Filing Number: <br />County Date 1 Time: <br />9905369483-3 (originat) <br />01/03/2005 @ 2:03 PM <br />200500150 <br />01-06-2005 @ 8:19 AM <br />14742908-7 (continuance) <br />10/03/2014 @ 2.25 PM <br />201406304 <br />10/03/2014 3:19 PM <br />CERTIFY that this TERMINATION serves to remove the lien described above and the priority of the Nebraska Department of Labor an the <br />affected property of this employer or person, and that It is tiled pursuant to Neb. Rev. Stat. §546.667, 48.660.01, 48464, and the Uniform State <br />Tax Lin Registration & Enforcement Act (Neb. Rev. SIaL 577-3801, etseq.). <br />Date: May 19, 2022 <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />RBER, General Counsel <br />EUZABETH CANO, Legal Counsel <br />Llceneret counaelteganDOCUMEt4'rSttaie Tax Liens STi. Filings102 3000003002 80444007 Ot4341005 em.doat <br />Return Filed Copies To: <br />NDOL General Counsel <br />P.O. Box 94600 <br />Uncoln NE 68509-4600 <br />NE Department of Labor <br />Charge Account #14765 <br />