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201600986
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2/18/2016 3:53:08 PM
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2/18/2016 3:53:08 PM
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DEEDS
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201600986
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Pursuant to the revenue laws of the State of Nebraska, the <br />Tax Commissioner hereby gives notice that the State Tax Lien <br />against the taxpayer Identified below, the original notice of which <br />was duly filed of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Please Do Not Write In This Space <br />Nebraska ID Number <br />9279822 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -2673 <br />Spouse's S0Ciel Securily Number <br />Lien Serial Number <br />120060189 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Dale of Lien <br />04/25/2006 <br />Tax Program <br />01 - 21 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Feb. 18. 2016 0 30FM NE Secretary of _tat_ — UCC No. 5134 F. 3!3 <br />Nebraska Department of <br />REVENUE <br />Tax Years 2004 <br />C1CC Instrument Number 9906451523 -2 <br />Continuation of Tax <br />Lien <br />pcggy neemann ebraska.gov <br />Tide <br />Email dress <br />A horized <br />201600986 <br />Revenue Senior Agent <br />Title <br />venue Senior Agent <br />NE See of Skate Jahn <br />SAMUEL SPITZ <br />PO BOX 5611 <br />GRAND ISLAND NE 68802 <br />County Instrument Number 200604139 <br />991878a798 -7 F <br />SPITZ SAMUEL <br />Filed: 02/19/2016 10:15 RN <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />continuation. berm!. ation, partial release, or subordination indicated above. <br />02/12/2016 (402)471 -5709 <br />Dale Phone Number <br />11 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Type of Action <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 10 years. <br />Date 4.232 Rev.1 -2015 <br />supersede* 4-292 -1969 rev. 6-2014 <br />
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