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03/05/2010 FRI 15:08 PAX 402 471 4429 UCC SECRETARY OP STAIR ~~~ Hall <br /> <br />Please forward to: 2 010 014 $ 4 <br />Nebraska Department of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br />X002/003 <br />~'~-- State Tax Lien Statement of Termination or <br />~,~~ ~~~ <br />~„~~~E''~E~E Certificate of Partial Release or <br />Subordination <br />PLF~4S DO NOT WRITE IN THIS SPACt? <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Lien which has been duly filed by the' Nebraska <br />Department of Revenue against the below-named taxpayer, Is <br />terminated, partially released, ar subordinated to the extent indicated <br />below. <br />Nebraska ident'rfication Number Federal Identiticat(on Number Social Security Number Spouse's Social Security Number <br />36363189. XXX-XX-4004 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />10933167 QRegister of Deeds County Clerk 12/D4/2009 22 Hall <br />BUSINESS NAME A ND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Kevin Nguyen <br />Street Address Skreet or Mailing Address <br /> 2404 W 13th <br />City State Zip Code City State Zip Code <br /> Grand Island NE 88803 <br /> Type of Action <br />© TERMINATION OF TAX LIEN. Tha State Tax Lien is hereby fully terminated. UCC Instrument Number 890961341 <br />County Instrument Number 200909579 <br />TAX YEARS (corporate,lndlvldual income, and withholding tax only) 2007 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />[] SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />1 here y ify at the N ska Department of Revenue has complied with the revenue aws of the State Nebraska in <br />determinati f the t rminat , pa 'ai release, or subordination indicated shove. <br />Sign ~ Revenue Agent 03/03/2010 308 632-1200 <br />here P r i Title ~ ~ ~ ~~ Date ~ Telephone Number <br />Revenue Su ervisor 03/03/2010 <br />Aut zed i ® Idle Date <br />n-zaz~se Rsv. ass su~arard.s a-r,~~9 rzav. tars <br />NcuvEn Ic~vzrr <br />Filed: a3/05/2010 08:37 AM <br />