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03/23/2010 TUE 14:2$ FAx 402 471 4429 UCC SECRETARY OF STATE ~yy Ha11 Og 20100191 NF Sac X003/003 r9s; 1 10:09 AM ~+rblbrWtke~Ip~pwnrrabAR~d State Tax Lien Statement of Termination or ~F~E~'`E~E Certificate of Partial Release or 'W W1.W iPi~MMln~li-lli.yytlH' Subordination Dp NpT WRITE IN Ttil5 Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below-named taxpayer, is terminated, partially released, or subordinated to the extent indicated below. Nebraska Identlficatian Number Federal Idenhficatian Number Social Security Number Spouse's Social Security Number 35751231 XXX-XX-2044 Lien Serial Number Lien filed with Date of Lien Tax Category County 043170046 ORegister of Deeds (County Clerk 05/04/2006 22 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Nama Name PHOUKHAM MANIVONG Street Address Street ar Mailing Address 7079 FIGHTER DR UNIT 1101 City State Zip Code City State Zip Code ELMENDORF AFB AK 99506 Type of Action TERMINATION 01= TAX LIEN. The State Tax Llen is hereby fully terminated. UCC Instrument Number 9906453141-4 Cnunty Instrument Numher 200604232 TAX YEARS (corporate, individual income, and withholding tax only) 2001 PARTIAL RELEASE. The Slate Tax Lien is partially released as follows: UCC Instrument Number County Instrument Numher TAX YEARS (corporate, individual income, and withholding tax only) SUBORDINATION. The State Tax Lien Is subordinated as follows. UGC Instrument Number County Instrument Number I here y certify that the Nebraska Department of Revenue as complied with the revenue laws of the fate o Nebraska in daterm~ation of the~ermination, partial release, or subordination indicated above. sign here REVENUE AGENT 03/22/2010 Title Date REVENUE AGENT SUPERVISOR Title 402 471-5928 Telephone Number 03/22/2010 Date 4.232.68 Rev- &96 Supersedes 4-232-68 Rev. 10-95