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PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />N S AS44 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2010000832-2 Pages: 1 <br />Debtor Name: DENNIS NELSON <br />Filing Date and Time: 10/20/2020 10:55 AM <br />J <br />202008047 <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 />Nermanka ID Nuntdter <br />12007439 <br />Federal ID Number <br />Social Sat;urty Number <br />XXX -XX -9068 <br />Semmes Focal Security Number <br />Lien Serial Number <br />11670539 <br />[,ion F With <br />Secretary of State. Regivter of Deeds <br />Date of hien Tax Program <br />10 -MAY -16 122 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />DENNIS NELSON <br />501 N PINE ST <br />GRAND ISLAND NE 68803 <br />Tax Years 2014 <br />UCC Instrument Number 991677 37868 County Instrument Number 201602989 <br />Type of Action <br />® Termination of'Ias The State Tax Lien is herehc fully terminated. <br />Lien <br />I hereby certdy That me NoTra <br />CC^.h'kraliOrt, tnrlrorS liter:, (lar Tia( ret <br />ailment of Revenue has complied with the lags of the Slate of Me -waster in determination of the <br />S:iodidtr:at:a!l i;%IICated above. <br />` RCVenue Agent <br />7 Prepa-er'n Szy.^.azure the <br />diane rickardlifatehraxka goy <br />Email Ada as <br />1i -OCT -20 (3081632-1106 <br />Dale Phone Number <br />.�r �J�l^•t�.rn <br />a -ass -race Re,sante <br />Sr•bar6/aes 4-232.195e Rev. 1.2015 <br />