Laserfiche WebLink
201906629 <br />NE Sec of Statc - Robert B. Evnen <br />Filing Document #: 1910001558-4 Pages: 1 <br />Debtor Name: DEREK L KERMOADE <br />Filing Date and Time: 10/24/2019 11:25 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />,,,,,,k• State Tax Lien Statement of Termination or <br />FEVENUE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT V4RITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, Is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />40710998 <br />Federal Identification Number <br />Socei Security Number <br />XXX -XX -8212 <br />Spouse's Social Security Number <br />Len Serial Number <br />11928035 <br />Lien filed with Register of Deeds <br />Date of Len <br />04/30/2019 <br />Tax Category <br />22 <br />County <br />HALL <br />I BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />DEREK L KERMOADE <br />1124 S PINE ST <br />GRAND ISLAND NE 68801 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2012 <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Number 15050005761 <br />County Instrument Number 20 190 264 5 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />O PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, individual income, and withholdiing tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State tax Uen is subordinated as follows <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />hereby certify that the Nebraska Department of Revenue has compied with the revenue laws of the State of Nebraska ,n <br />determination of the termination, partial release, or Subordination incicated above <br />Revenue Agent 10/21/2019 (308)632-1203 <br />Title Date Telephone Number <br />Revenue Supervisor 10/21/2019 <br />AuthoaZedgnature '•/ Title Owe <br />..2176a Rev 696Supeneles 4.232.69 Rev 1146 <br />