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r\r € 4A <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2104001944-1 Pages: 1 <br />Debtor Name: SHEILA R SANCHEZ <br />Filing Dale and Time: 04/28/2021 10:53 AM <br />202103520 <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 />41980999 <br />Federal ID Number <br />Soc;at Security Number <br />XXX -XX -1392 <br />Spouse's Social Security Number <br />Len Serial Number <br />32270888 <br />Lien Fled With <br />Secretary of State, Register of Deeds <br />Date of Lion <br />02/01/2004 <br />Tax Program <br />22 <br />County <br />HALL. <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SHEILA R SANCHEZ <br />PO BOX 184 <br />GRAND ISLAND NE 68802 <br />Tax Years 1999 <br />UCC Instrument Number 99043198764; 99137213595 County instrument Number 200401663; 201306844 <br />Type of Action <br />® Continuttirtn orTax This is a continuation of an existing lien and serves to continue the Tien and priority (tithe Nebraska Department of Revenue <br />Lien for an additional 10 years. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska In determination 01 the <br />continuation. terminatkin. parttal release. or subordination indicated above. <br />'Preparers Signature <br />TReevenue 4gettl 04,12/2021 Ph((4e7)4711r .92L <br />holly.elstunfitnebraskazov <br />Email Address y <br />Revenue Supervisor 04/12/2021 <br />riled Signature TIte Date <br />4.23109e8 Rev A-2018 <br />S aersedes 4-232-1988 Rev. 1-2016 <br />