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RA <br />.nf7 1(,c tisY2 ..r.aC.P <br />NE Sec of State - Robert B. Evnen <br />Filing Document #s: 1911001530-7 Pages: 1 <br />Debtor Name: DOUGLAS C WINTER <br />Filing Date and Time: 11/27/2019 11:32 AM <br />201.907526 <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 1D Number <br />5889715 <br />Federal It} Number <br />Smartt Se urtty Number <br />XXX -XX -2485 <br />Spouse's Social Security Number <br />Lien Serest Number <br />11786530 <br />len Filed «fh <br />Secretary of State, Register of Deeds <br />Data of I. en <br />04114/2017 <br />Tax Program <br />I <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DOUGLAS C WINTER <br />4879 N ST PAUL RD <br />GRAND ISLAND NE 68801 <br />Tae Years 2013, 2014 <br />CCC Instrument Number 9917794827-3 County Instrument Number 201704657 <br />Type of Action <br />Temtination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />Illy that the Nebraska Department of 19 eerie bas cerbob ed wilt Me laws of 9re State o€ Nebra ka k+ r rrnirwtron Ot 1 <br />cc . inuaSoO, tormarairon, partial release, or suboro,nat *. dieatW above. <br />p <br />ao <br />eantirai cacnn raskT <br />eEmail <br />Authorized S3pnattre <br />Tt- <br />11/27i/019 (402)471-5727 <br />Data Phone Number <br />'+� 1 Revenue Seninr Agent <br />Title <br />%1 -/s f ! <br />Date <br />i -230-190t Be -.v. 114019 <br />Supersedes 4•.32-' 9t a Rev. 1-21)16 <br />