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<br />12/19/2007 WED 15:04 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/002 <br /> <br />~~ <br /> <br />200710581 <br /> <br />IIIIIIIJ' <br /> <br />ECLIPSE DRAFTING Pgs: ,1. <br />Filed: 12/19/2007l1g~~T~~CTIO <br /> <br />STATE TAX LIEN . NEBRASKA DEPARTMENT OF LABOR <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />IJncoln.~ '68509-4600 <br />Telephone. (402) 47-1.99U <br />FAX - (402) 471.9917 <br /> <br />1 TERMINATION <br /> <br />Employer or <br />Liable Penon: Dana Tompkin d/b/a Eclipse Drafting & Construction <br />Address: 11750 South 190tll Road Wood River NE 68883 <br />NDOL Acct. No.: 0295120001 <br />Federal m No.1 SSA No.: 81-0572697 <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the affected <br />. property of this employer or person. This Termination is filed pursuant to Neb. Rev. Stat. f~48-657, 48-660.01, 48-664, and the <br />Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. F7-3901, et seq.). <br /> <br />LIEN TO BE TERMINATED: <br /> <br />., FULL PARTIAL Release <br />Property description (ONLY ifP ARTIAL Release): <br /> <br />NDOL Serial No. : LAB.OII0-2<i05 <br />State Tax Lien Document N 05407675.7 <br />County: Hall & Buffalo <br />County DoC1.UDflllt Filing No.: 0805007892 & <br />0905007046 & 0905008492 <br />Other Filing Information: Org. filed in Hall Co. 8/15/05 <br />@8:20 #0200507892 & Buffalo Co. 8/12/05@4:36 #2005. <br />7046 & 9/23/05@12:36 #2005-8492. <br /> <br />nla <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in <br />the determination of the amount due, and the employer or person has 'failed to pay the amount due after demand. <br /> <br />FERNANDO LECUONA, m. <br />Commissioner of Labor <br /> <br />Date: December 19,2007 , <br /> <br />By: <br /> <br /> <br />egal COUDsel <br />UKlNSKI, Legal Counsel <br />L BARGER. Legal Counsel <br /> <br />T:\DOCUMENTS\FORMS\Liens\Tmnination.doc <br /> <br />. RETURN FILED COPIES TO: Nebr. Dept. of Labor. LEGAL <br />P.o. Boll !J4Q)O <br />LIlleolo, NE 68509-4600 <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br /> <br />\V <br />