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NEB44A <br />202003712 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2006000307-8 Pages: 1 <br />Debtor Name: DAVID MIRELEZ <br />Filing Date and Time: 06/05/2020 10:06 AM <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 />46315810 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -7243 <br />Spouse's Social Security Number <br />Lien Serial Number t iun rikW With Date cl Lren Tax Program County <br />11927478 Secretary of State, Register of Deeds) 04/17/2019 22 HALL <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />DAVID b1IRLLEZ <br />901 ROLLINS AVE <br />PALMER NE 68864 <br />fax Years 2017 <br />I ICC Instrument Number 19040015176 CountInstrument Number 2019023(15 <br />Type of Action <br />® Termination ()flax the tate lac Lien is bereby fully terminated. <br />Lice <br />I homily certiry mat -tin Nebraska Department of PCvonuC has complied with tee laws of the State s' Nebraska n determinaben of the <br />continuation, hurnination_ parpoi reltmr:o, or autxw.lirmtion indicaled above, <br />Revenue Agent 06,01 _ _1402.142,1,52.(2 <br />,Prldecrer a Spnatore r Ile Date Phone Number <br />citric ditpnarAnebraska Fov <br />Email Address <br />,Aithor zed Signature <br />telnle-St,pefs4e e'— 6 03 -?024 — <br />1 <br />4-232-195e Seg'. 6.5,1'9 <br />.parYWes 4.232.1966 ',key . 2 '..5 <br />