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N.5.H - <br />ticodl l.. fl`. licca: Sere <br />202103072 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2104000887-0 Pages: 1 <br />Debtor Name: FATAH ALI <br />Filing Date and Time: 04/15/2021 11:55 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 />Nebraska ID Number <br />95761829 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -5056 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11438008 <br />Len Filed With <br />Secretary of State, Register of Deeds <br />Dale of Len <br />08/11/2014 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />FATAH ALI <br />616 SUTHERLAND ST APT 2 <br />GRAND ISLAND NE 68801 <br />Tax Years 2011 <br />UCC Instrument Number 99147403716 <br />County Instrument Number 201405013 <br />Type of Action <br />® Continuation of Tax This is a continuation of an existing lkn and serves to continue the lien and priority of the Nebraska Department of Revenue <br />Lien liar an additional 10 years. <br />1 hereby certify that the Nebraska Department of Revenue has complied with the laws 01 the State of Nebraska on delorminat on of the <br />continuator. termination. panel release. or subordlnaton indicated above. <br />Preparers Signature <br />ectica.renat 4nrbratka,gnv <br />0At iodiad Signature <br />Revenue Manager 04/08/2021 (402)47l-2518 <br />Tide Date Phone Number <br />Revenue Supervisor 04/0812021 <br />Tale <br />Date <br />4-232.196e raw. 8-2019 <br />Sseo.aodos 4-232.1969 Nov. t-2017 <br />