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State of Nebraska 8/13/2019 3:29:05 PM PAGE 3/005 Fax Server <br />NIEBRA444A. <br />NE Etc of State - Rdeet El Ev nen <br />Filing Document ti: 1908000628-0 Pages: 1 <br />Debtor Name MIGUEL JORGE POL <br />F[hng Date and Tune. OS/1?/2019 10.54 AM <br />201904837 <br />-PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />`'C7 BO); 94609 <br />Ii1(O1.11 NE 68509-4509 <br />State Tax Lien — Statement at Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <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 e# which <br />was citify tiled of record as indicated, is continued, terminated, <br />partially t•elea,setf, or subordinated, to the extent indicated below. <br />Meese Ua MotiNc:te to 1 hls Space <br />4003029 <br />XXXXX-tw24 <br />.,,+., s.. _,..sol .••sto. � No., .... <br />,reveal, �Sae�+:.y a�� .. ..:..w <br />1.035864 rc:crtry of Matt.Rtviscorrlf3D:`r:de{ 04 E 3:,Ei-lit 22 31Ai:3.. <br />Business Name and :tocaticrx Address Taxpayer Name and Ma?1tng Address <br />log's. s 2,ti_ <br />14161;:a:: kt:X..1'Oi. <br />;-Th; F.:g:I c'1 „PTA <br />GRAND ISL AND NEiGSS0l <br />1. ..:r,;_ •ns.: a;:u::: N;nta>:.: 2010.0c,6.0 <br />Type of Action <br />ales 1.a e .d o✓ rel : c•? t?' . \. ha.ka h:cc:ft::cttt v ?. . st[r <br />t:+?<., :•!ftr; 01 „[ rv. :.', l:np:"q r. :4.:�ao;; •:c�.:.N o?i ,.�l:[l:• s,'l.'n...._`'. T:\•:.1 N.:.r,x3hY. .. .i•Ih:^.. :�:-' <br />.".'i'.l\!�-4Na'h'ii4Ni —_ }i(•._:�;`:�-j-i(2_ <br />