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ICFs <br />Gn;xi ..r..; Cm• -v p <br />202104857 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106000377-6 Pages: 1 <br />Debtor Name: PHILIP C SLOAT <br />Filing Date and Time: 06/08/2021 09:56 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 />pl°°f° Do Not Write In This Space <br />Nebraska ID Number <br />37798324 <br />Federal ID Number <br />Social Sects Ay Number <br />XXX -XX -4740 <br />Spouses Social Security Number <br />XXX -XX -8739 <br />Lien Serial Number <br />12051565 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />03/26/2020 <br />Tao Program <br />22 <br />County <br />MALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />PHILIP C SLOAT <br />KELLY SLOAT <br />1202 K STREET <br />FRANKLIN NE 68939 <br />Tax Year. 2017: 2018 <br />UCC Instrument Number 20040001489 <br />County Instrument Number 202002034 <br />Type of Action <br />® Termination or 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 />contkruation, termimatron, partial rebase, or subordination indicated above. <br />Brid,jel- Mar!-irt <br />,Preparer Signature <br />bridget in. ' @nebraska gov <br />Ernad Addr,e0 <br />zed Signature <br />Revenue Agent 06/02/2021 (308)632-1210 <br />Date Phone Number <br />Title <br />Revenue Supervisor 06/02/2021 <br />Title <br />Date 4.232-1966 Rev. 8.2011, <br />Supersedes a-232.1906 For 1.2015 <br />