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202103296
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4/22/2021 4:03:04 PM
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4/22/2021 4:03:04 PM
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202103296
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_NEBRASKA- <br />Goo,:.:te. t)r<at Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2104001414-5 Pages: 1 <br />Debtor Name: SHANDA I HAMNER <br />Filing Date and Time: 04/22/2021 10:07 AM <br />202103296 <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 10 Number <br />95434550 <br />Federal 10 Number <br />Social Security N.umber <br />XXX -XX -6493 <br />Sn uses So;..al Secririy Number <br />XXX -XX -$266 <br />County <br />HALL <br />Lien Serial Numb r <br />11796046 <br />Len Filed With <br />Secretary of State, Register of Deeds <br />Dare nt Lien Fax Program <br />10120/2017 j 22 <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />SHANDA I HAMNER <br />TREVOR V POPE <br />217 WEST 19TH ST <br />GRAND ISLAND NE 6$801 <br />Tax Years 2012 <br />UCC Instrument Number 9917$003157 County Instrument Number 201707195 <br />Type of Action <br />® Continuation of Tax 'Ibis is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />Lien for an additional 10 years. <br />I hereby cerfty that the Nebraska Department of Revenue has complied wills the laws of the Slate of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />♦Prelater's Signature <br />Revenue Managt r 04116,2021 _44021411=2518 <br />title Date Phone Number <br />Jessica-nativrocki@uebroska goy <br />Email Address <br />1 zu eii Revenue Supervisor 04116/2021 <br />rtrAuthor zed Signature Title Dale <br />4-232,90,a rev, 0-2015 <br />4tdrorcorrcu a-72p.r1166 Fev. +..2115 <br />
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