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20200095 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2002000308-1 Pages: 1 <br />Debtor Name YORDANI CAMEJO TORRES <br />Filing Date and Time: 02/10/2020 10:55 AM <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE 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 />96039620 <br />Federal Ident Cation Number <br />Social Security Number <br />XXX -XX -3095 <br />Spouse's Social Security Number <br />Llen Serial Number <br />11944719 <br />Lien filed with Register of Deeds <br />Date of Len <br />11/26/2019 <br />Tax Category <br />22 <br />County <br />BALL <br />I BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />YORDANI CAMEJO TORRES <br />2106 N PARK AVE <br />GRAND ISLAND NE 68803 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully tennnated. <br />TAX YEARS 2017 <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Numter191k001206 <br />County Instrument Number 201907647 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />El PARTIAL RELEASE The State Tax Lien is partially released as folows <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />❑ SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied wr'th the revenue laws of the State of Nebraska in <br />nation the tenpin partial release, or subordination indicated above. <br />sign i S Revenue Agent 02/05/2020 (402)471-5713 <br />here Prdb s irim ure � Title Date Telephone Number <br />/ v <br />� i��.r — �i�:r�✓_ ,F �.= Revenue Supervisor 02/05/2020 <br />zed Signature i Title Date <br />4.23245 Rev 5-95 SUOVNdi4 4-25249 R$e 10.95 <br />