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202008152
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10/22/2020 4:20:00 PM
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10/22/2020 4:20:00 PM
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202008152
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N_EBRAS44A. <br />202008151 <br />NE Sec of State - Nobert H. Evnen <br />Filing Document #: 2010000989-9 Pages: 1 <br />Debtor Name: FIDEL M CHAVEZ <br />Filing Date and Time: 10/22/2020 09:04 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 />Netwaska ID Number <br />40306275 <br />Federal ID Number <br />Social Sectrdy Number <br />XXX -XX -I 737 <br />Spouse's Social Security Number <br />Lien Serial Number <br />010120241 <br />t.on Filed wen <br />Secretary of State, Register of Ikeda <br />Dale of Lien <br />05/28/2001 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />CHAVEZ/FIDEL NI <br />520 W LOUISE ST I <br />GRAND ISLAND NE 68801 <br />1 <br />Fax Years 1997,98 <br />UCC Instrument Number 9901140225: 9910645382-5 <br />Count') Instrument Number 200104319: 201009340 <br />Type of Action <br />® Continuation of Tax <br />Lien <br />This is a continuation plan existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 1(1 years. <br />t hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />continuation. termination. partial release. or subordination indicated above. <br />Revenue Agent 10/16;2020 1402)471-9928 <br />11Preparer's Signature Title Date Phone Number <br />ho elctun jt tehraska,ov <br />Address s <br />UI C(11 <br />tthorizeo Signature <br />I ventre Supcwi <br />Ai C.2020 <br />20220 <br />4.732i 96a Rev. 5.2015 <br />Supersenet 4-232.1964 Rev 1.2015 <br />
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