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o <br />N EBA <br />Gooq : Esc. r: at Scrva�+ <br />202104856 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106000376-7 Pages: 1 <br />Debtor Name: ANGEL VELASCO <br />Filing Date and Time: 06/08/2021 09:55 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 10 Number <br />94070628 <br />Federal ID Number <br />Social Secunty Number <br />XXX -XX -2063 <br />Spouse's Social Seamy Number <br />Den Serial Number <br />11811696 <br />Lien Fled With <br />Secretary of State, Register of Deeds <br />Date Of 1,len <br />08/08/2018 <br />Tao Program <br />22 <br />County <br />HALL <br />I Business Name and Location Address <br />Tax sayer Name and Mailing Address <br />ANGEL VELASCO <br />110 EAST 6TH ST APT I <br />GRAND ISLAND NE 68801 <br />Tax Years 2016 <br />UCC Instrument Number 99188175380 <br />County Instalment Number 201805281 <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 with the laws of the State of Nebraska in determination of the <br />continuation. ternanat.on, partial release, or subordination indicated above. <br />Id <br />// <br />Preparer's Sgnature <br />sara holliday'nehraska bov <br />Email Address <br />Revsnure Awn 06./02/2021 L308)632-1208 <br />Title Date Phone Number <br />Revenue Supervisor 06/02/2021 <br />,Auttxx'zed Signature Title Date 4-232-,90e hev. a -tote <br />SuoeruMM 4-232-190 rev. ,-lot 5 <br />