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NE See of State - Robert B. Evnen <br />Filing Document #: 2008000316-4 Pages: 1 <br />Debtor Name: ANDREW K SAMUELSON <br />Filing Date and Time: 08/11/2020 09:51 AM <br />2020058765 <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 />_ <br />N!;ka in Nrrrnter f,uic*='at t1) Number <br />13169483 820766434 <br />Social Semur;ty Nur,t et <br />XXX -XX -9020 <br />Sgteuses Soctai Security N»mher <br />I.isn Saris€ Number s Lien Ftted With <br />11924952 = Secretary of State, Register of Deeds <br />Date o' :.ren <br />03/06/2019 <br />'so Program <br />1 <br />County <br />HALL <br />E Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ANDREW K SAMUELSON <br />ROBOT RESALE <br />603 COLLEGE DR <br />DECORAH IA 52101 <br />To Years 2017 <br />[,`(;(' Instrument timnbcr 19030005231 County instrument Number 241001450 <br />Type of Action <br />Z Termination or Tax Thr State Tax Lien is het hp fully terminated_ <br />Lien <br />I hereby certity Mal hie Nebeaska Deparmvchi a' r+mecrus has extmpired vet rs the he nrs of the State o` Nebraska in determination et the <br />cuntinuadian. termination.. parte! release, or suborn sties i.nt Bated above. <br />/e41444". -Co.- G(L j L-_ Revenue Us= 980412020 .. (40211111.c717 <br />Date Phone Number <br />0-Preparer s Signature 'ire <br />Erna" Address A -/if <br />Revz'mtt, Senior Avl nt <br />,Auessrized Signature "'.tie <br />08-04-2020 <br />Date <br />w232-1998 Per. 5-5Dt8 <br />5 532 t9SN Poo. 1.2025 <br />