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Crno t. le creat ser,.€e. <br />..00..11..»11.. 0.044111 <br />202102891_ <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2104000491-7 Pages: 1 <br />Debtor Name: NICKIE J. KALLOS JR. <br />Filing Date and Time: 04/09/2021 09:39 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 />— <br />Nebraska ID Number <br />9677003 <br />Federal ID Number <br />20-3658058 <br />Social Security Number <br />XXX -XX -4-08 -0859 <br />Spouse's Social Security Number <br />Lien Saul Number <br />11162411 <br />Lien Filed With <br />Secretary of State. Register of Deeds <br />Date of lien <br />09/22/2011 <br />Tax Program <br />01 @ 21 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />j <br />NICKIE 1. KALLOS JR. <br />1704 E 7TH ST <br />GRAND ISLAND NE 68801 <br />Tax Years 2010 <br />UCC Instrument Number 99116732110 <br />County Instrument Number 201107401 <br />Type of Action <br />1 <br />® Continuation of Tax <br />Lien <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nehraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify nut 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 />'P-eparer's <br />g Vire <br />Jteidi manni2 nebraska goy <br />Ener Address <br />Revenue Agent 04/0512021 (402)471-6067 <br />T.de Date Phone Number <br />Revenue Senior Agent <br />Tide <br />lilaVzcal <br />a232- t9611 Rev. 5-20t5 <br />Supersedes 4-232.1gea Rev. 1.2015 <br />