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NEBt4A6+4A- <br />C, od rte rac4t 5orv.: <br />WIN VINVOT 4.41,0114M11 <br />202010263 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012001255-4 Pages: 1 <br />Debtor Name: GARY F MEYER <br />Filing Date and Time: 12/30/2020 11:57 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <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 M This Space <br />Nebraska 10 Number <br />46326588 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0027 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11153721 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Data d lien <br />03/29/2011 <br />Tao Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GARY 1.MEYER <br />1221 R' JOHN <br />GRAND ISLAND NE 68803 <br />Tax Years 2000: 2005: 2006 <br />FCC Instrument Number 99116567931 <br />County Instrument Number 201102551 <br />Type of Action <br />® Continuation of Tax <br />Lien <br />This is a continuation of an existing lien and serves to continue the lien and priority oi'the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify Mat the Nebraska Department of Revenue Ms complied with the laws of the State of Nebraska in delemunation of the <br />continuation, termination. partial release. or suborJaution indicated above. <br />Revenue Agent I/t1400'0 (3081632-1701 <br />'Prepared a Signature Tile Date Phone Number <br />jmilAi <br />a gtty <br />Email A <br />'Author <br />Signature <br />supero <br />1/14/2020 <br />a -232-196a Rev. 8.20,0 <br />Si.psnsass 4-232-1ee8 Rev. 1-20,5 <br />