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02/24/2011 THU 14:23 FAX 402 471 4429 UCC SECRETARY OF STATE ��� Hall <br />�� <br />, <br />�002/006 <br />NE Sse ef Stele Jahn p O�la - UCC TB9 <br />9911652273-5 Pes: t <br />HERNANDEZ NERI JR <br />Filed: 02124/2011 11:31 AM <br />201101508 <br />�_�� <br />�;� ;,���� State Tax Lien Statement of Termination or <br />�E'�'E�I�E Certificate of Partial Release or <br />w'w�.w.:�mwr��eo..ye.�ev <br />Subordination <br />WRITE IN THIS <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, or subordinated to the extent indicated <br />below. <br />43282857 <br />1093 Ilien �iled with Register of Deeds <br />BUSlNESS NAME AND LOCATION ADDRESS <br />Number <br />Social Security Number <br />XXX-XX-1754 <br />Date of Lien 1 <br />11/78/2009 <br />22 I HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />NERI HERNANDEZ JR <br />1320 N OAK ST <br />GRAND ISLAND NE 68801•3858 <br />Type of Action <br />� TERMINATION OF TAX LIEN. The State Tax Lien is hereby fuliy tertninated. UCC InsWment Numb 99096125473 <br />TAX YEARS Z��e County Instrumen! Number 200909234 <br />(corporate, individual income, and withhotding tax only) Continuance: UCC Insdvment Number <br />Continuance: County Instrument Number <br />� PARTIAL RELEASE, The State Tax Lien is partially released as follows: UCC Instrument Number <br />TAX YEARS County instrument Number <br />(corporate, individuai income, a�d withhoiding tax only) <br />� SUBORDINATION. The State Tax lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />i hereby certify that the Ne raska DeparUnent Revenue has complied with the revenue laws oF the State of Nebraska m <br />d rmination of q termination, partial release, or subor�ina6on indicated above. <br />sign � Revenue Agent 02/23/2011 �fU� y7/-(� d,3 <br />here Prep er' i � u � TiU D te Telep ne Number <br />✓e�, � <br />AutFarized Sig at re Title Date <br />4•232•68 Rev. 8-86 Supersedes �•2J2-69 Rev.10-95 <br />'� <br />� <br />