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NEBRASKA- <br />Ge <br />_EB A <br />GcG'eet ye ice. <br />1.0.1.1.1.1.117 OP SOVII.Nt <br />202!04188 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2105000880-6 Pages: 1 <br />Debtor Name: GERARDO M HERNANDEZ DE LEON <br />Filing Date and Time: 05/19/2021 09:07 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 />94436053 <br />Federal ID Number <br />Social Senoray Number <br />XXX -XX -3155 <br />Spouse's Social Security Number <br />Lion Serial Number <br />11929850 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Dale 01 Lien <br />05/28/2019 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GERARDO M I IERNANDEZ DE LEON <br />2222 BELLWOOD DR APT 84 <br />GRAND ISLAND NE 68801 <br />Tax Years 2014 <br />UC'C Instrument Number 19060000048 <br />County instrument Number 201903165 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby' fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has complied wen the laws of the State of Nebraska in determination of the <br />Continuation. termination. partial release. Or subordination indicated above. <br />Revenue Agent 05/12/2021 13081632-1208 <br />'Preparer's Signature Title Date Phone Number <br />sera hollida .)nebraska gpv <br />Email Address <br />Revenue Supervisor 0 511 212 02 1 <br />zed gnat" are ` Title Date <br />4232.1969 Rev. 6-2016 <br />Supersedes 4232.1968 Rev. 14010 <br />