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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2206001482-3 Pages: 1 <br />Debtor Name: D H S BUILDERS INC. <br />Filing Date and Time: 06/28/2022 09:33 AM <br />202204760 <br />STATE TAX LIEN NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or Liable Person: FD H S Builders, Inc <br />Address: 819 No. Diers Avenue #1 <br />NDOL. Serial No.: ; LAB -0105-2005 <br />NDOL AccL No.: xxxxxx4005 <br />Federal ID No. f SSA No.: 5272 / xxx-xx-nia <br />Grand Island, NE 68803 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds in the following County/Counties: <br />Hall <br />State Tax Lien to be TERMINATED: <br />STL. Document Number <br />STL Date / Time: <br />County Filing Number: <br />County Date/Time: <br />9905402979-6 (original) <br />7/12 2 5 3:41 pm <br />200506376 <br />7/13/2005 © 9:32 am <br />9915751900-4 (continuance) <br />4/8/2015 @ 202 pm <br />201502190 <br />4/812015 T, 258 pm <br />._. <br />I CERTIFY that this TERMINATION serves to remove the hen described above and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person, and that ft is filed pursuant to Neb. Rev. Stat ig48.657, 48460.01: 48-664, and the Uniform State <br />Tax Lien Registration & Enforcement Act (Neb. Rev. Stet §774901, et seq.). <br />Date: June 22, 2022 <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />R, eneral Counsel <br />ELI CANO, Legal Counsel <br />El,Gerlocal CmgcsekLegaETWECUMENTSESEara Tux LieltstSTI rthroot02 9004:100(002 9276, 60502a5ttfi 00C1 <br />Return Filed Copies To: NDOL General Counsel <br />P0. Box 94600 <br />Lincoln NE 68509-4600 <br />NE Department of Labor <br />Charge Account#14765 <br />