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b‘i <br />NEBRASKA - <br />L:202 Lte. (irea: Service. <br />e.....wr er.rvr.a <br />202102711 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2105000170-6 Pages: 1 <br />Debtor Name: DIDIETT BUSSOTT <br />Filing Date and Time: 05/04/2021 12:12 PM <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 />95480269 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -4182 <br />Spouse's Social Security Number <br />Lien Sena! Number <br />116 77892 <br />Lien Feed With <br />Secretary of State, Register of Deeds <br />Dre re Uen <br />09/27/2016 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DIDIETT BUSSOTT <br />141 NE 5TH PL APT 103 <br />FLORIDA CITY FL 33034 <br />Tax Years 2014 <br />UCC Instrument Number 99167806776 <br />County Instrument Number 201606588 <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 of the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify that tire Nebraska Department of Revenue has =moiled kWh the laws of the Stale of Nebraska in determination of the <br />Continuation. termination, partial release, o' subordination indicated above. <br />Rcyrnue Manager 04/19P021 (4021471-.251S <br />'Preperer's Signature Title Date Phone Number <br />'essica.Itatvrorkil@nebraska goy <br />ail Ito ess <br />Revenue Supervisor 04/19/2021 <br />thenOed Signature <br />Tek Date 4-212.1a6e mer. 0.201e <br />Superseder 4-232.12ee Per. 14015 <br />