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9/23/2019 4:40:25 PM
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9/23/2019 4:39:31 PM
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201905847
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N_EBRAG+EA <br />Cotat Sorn•ue. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1909000999-4 Pages: I <br />Debtor Name: VONNIE D. WHITE <br />Filing Date and Time: 09/23/2019 12:13 PM <br />201905847 <br />State Tax Lien — Statement of 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 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 />9812989 <br />Federal ID Number <br />204973399 <br />Social Security Neater <br />XXX -XX -8857 <br />Spouses Social Security Number <br />Lien Serial Number <br />11592493 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />04/29/2015 <br />Tax Program <br />21 <br />County <br />HALL <br />Business <br />Name and Location Address <br />Taxpayer Name and Mailing Address <br />VONNIE D. WHITE <br />201 N FIRST ST <br />DONIPHAN NE 68832 <br />Tax Years 2009, 2010, 2011 <br />UCC Instrument Number 99157554743 County Instrument Number 201503723 <br />L Type of Action <br />® Termination of Tax The State Tax Licn is hereby fully terminated. <br />Lien <br />I hereby certify that the Nebraska Department et Revenue has complied with the laws of the State of Nebraska in determination of the <br />contiru,atlon. termination. partial release, or subordination indicated above. <br />,Prepare <br />nature <br />I]Y_ <br />nwil A.•, s <br />,der "I //1 Revenue Senior Agent 97' !f <br />teed Signature Title Dare <br />Revenue Agent 09/18/2019 (402)471-5704 <br />Title Date Phone Number <br />4-232.1068 Rev. 8.2018 <br />5aparsede54-2)2-1a66 Rev. 12015 <br />
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