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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 />43799078 <br />Federal ID Number <br />Social Securky Number <br />) X -XX -4803 <br />Spouse's Social Securay Number <br />Lien Serial Number <br />70680214 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />03/09/2007 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Dec. 9. 2516 4:18FM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE <br />Tax Years 2004 <br />UCC Instrument Number 99075125973 County instrument Number 200704712 <br />continuation, termination, partial release, or subordination Indicated above, <br />L ReYenue Agent <br />Preparers Signature Title <br />Type of Action <br />NI sac <br />MARIEL CRUZ MORALES <br />PO BOX 1341 <br />GRAND ISLAND NE 68802 <br />Revenue Supervisor <br />2G16( <br />• <br />of Siaiu doho N Solo UCC <br />I hereby certify that the Nebraska Department of Revenue has compiled with lha laws of the State of Nebraska In determinatton of the <br />2580/2 <br />I 1 <br />12/07/2016 (402)471 -5928 <br />Date Phone Number <br />9918783786 - 0 Pea: <br />MORALES MAR T EL CRUZ <br />Filed: 12/09/2016 01 :54 PM <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />‚CO <br />® Continuation of Tax This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Depatmeat of Revenue <br />Licn for an additional 10 years. <br />4 -232 -1ee8 Rev. 1 <br />Supersedes 4292.7966 net 62011 <br />