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202007063 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2009000926-4 Pages: 1 <br />Debtor Name: GABRIEL ESCALONA LAGO <br />Filing Date and Time: 09/21/2020 10:05 AM <br />N444.4k M State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />...._ Subordination <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 />'PLEASE DO NOT WRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska Identification Number <br />95620567 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -7654 <br />Spouse's Social Security Number <br />Lien Serval Number <br />Date of Lien <br />Tax Category <br />County <br />12055109 <br />Lien filed with Register of Dews <br />05/22/2020 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />GABRIEL ESCALONA LAGO <br />1103 W6 ST <br />GRAND ISLAND NE 88801 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fuly terminated. <br />TAX YEARS 2017, 2018 <br />(corporate, individual Income, and withholding tax only) <br />UCC Instrument Number 20050009134 <br />County Instrument Number 202003414 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />PARTIAL RELEASE. <br />TAX YEARS <br />(corporate, individual income. and withholding tax only) <br />The State Tax Lien is partially released as follows <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the , partial release, or subordination indicated above. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />09/16/2020 (308)632-1203 <br />Date Telephone Number <br />09/16/2020 <br />Title <br />Date <br />4-732-09 Rua 848 Superman 4.27249 Rev 10.95 <br />