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40 <br />N <br />Sc d L.re. Great Service. <br />NMY1Wer sKyOYe <br />202005'705 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2008000110-2 Pages: 1 <br />Debtor Name: SIMMONS ELECTRIC INC <br />Filing Date and Time: 08/06/2020 09:10 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 />9713220 <br />Federal ID Number <br />204173143 <br />Social Security Number <br />XXX -XX -7790 <br />Spouses Social Security Number <br />XXX -XX -2666 <br />Lan Serial Number <br />11899416 <br />Lan Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />01/16/2018 <br />Tax Program <br />21 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SIMMONS ELECTRIC INC <br />1212 SAGEWOOD AVE <br />GRAND ISLAND NE 68803 <br />CARLOS SIMMONS <br />1212 SAGEWOOD AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2015, 2016 <br />UCC Instrument Number 99188055285 <br />County Instrument Number 201800688 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax lien is hereby fully terminated. <br />I hereby cerlly that the Nebraska Department of Revenue has tta.etlted with the laws of the State of Nebraska in determination of the <br />pOreinualan, ttir nnauon, partial release. or subordination indicated above. <br />'ftL /i) IL X Revenue Agent 0i/1412020 (402)471-5956 <br />Prtiarer'a Signature Title Date Phone Number <br />tleri rnhles@n raaka,gnv <br />E resss �r . �fr., <br />'AWnOn2.•C�,�1: to re i�wmow,yjL) TRevemte Senior S/3/2. <br />or Agent i»1'0 <br />moi! Date 4232.1968 Rey, 4.2019 <br />Supersetloo 4.232.1968 Rw. 1.2010 <br />