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201702543
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4/20/2017 4:08:43 PM
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4/20/2017 4:08:43 PM
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DEEDS
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201702543
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Apr. 20. 2117 3: i8PM <br />Nebraska Department of <br />REVENUE <br />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 subord nated, to the extent indicated below. <br />Nebraska ID Number <br />11579706 <br />Lien Serial Number <br />11594823 <br />T <br />Business Name and Location Address <br />Tax Years 2013 <br />DCC Instrument Number 99157630454 County Instrument Number 201507407 <br />Type of Action <br />® Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />ease „or <br />I her by certIly that the Nebr <br />con , termination, partial <br />Rrvrnue.. Agent_ 04/10/7017 (4021471 <br />eparer's Signature Title pate Phone Number <br />ron aI d. des pinsanebraska,gov <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Federal ID Number <br />Lien Filed Witb <br />Secretary of State, Register of Deeds <br />Revenue Senior Agent <br />Title <br />Please Do Not Write In This Space <br />Social Security Number <br />-XX -6588 <br />� <br />• Ill0t534 3 <br />NI C no of S4ata Jelin A Gale - N•MA <br />9917790680-7 Ps : 1 <br />DONNER JOEY R <br />Piled; 04121/2017 81:53 PM <br />Spouses Social Security Number <br />Dare of Lien Tax Program County <br />10/15/2015 1 HALL <br />Taxpayer Name and Meiling 4ddress <br />JOEY A DONNER <br />2003 NW 55TH ST <br />LINCOLN NE 68528 <br />artment of Revenue has compiled with the laws of the State of Nebraska in delerminatlon of the <br />subordination indicated above, <br />Date 4232 -1968 Rev 1 <br />Supersedes 4.- 232.1968 Rev. 6-2 { 014. <br />1� <br />
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