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202104968
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6/11/2021 3:39:40 PM
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6/11/2021 3:39:40 PM
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202104968
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NEB&A& "t <br />to Great /en.. ce. <br />202104968 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106000489-0 Pages: 1 <br />Debtor Name: FRANCIS A ANDRUGA <br />Filing Date and Time: 06/11/2021 10:34 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 />97411345 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0393 <br />Spouse's Social Security Number <br />lien Serial Number <br />11318015 <br />Lien Fled With <br />Secretary of Stale. Register of Deeds <br />Date of Lion <br />02/12/2013 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />FRANCIS A ANDRUGA <br />912 W 1ST STREET <br />GRAND ISLAND NE 68801 <br />Tax Years 2008: 2009 <br />UCC Instrument Number 99137087863 <br />County Instrument Number 201301260 <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 the Nebraska Department o/ Revenue has carnprned with the laws o1 the State of Nebraska in determination of the <br />continuation. termination, partial release, Of subordination indicated above. <br />10"Preparer s Signature <br />Revenue Senior Agent 06/04/2021 (402)471-4339 <br />The Date Phone Number <br />brandon brovvny'nebraska.gov <br />Email Address <br />Revenue Supervisor 06/04/2021 <br />AJ,thnrized Signature Title Date <br />4a32,96e new. a -zoic <br />&ne'seees a-232-1966 Her ,-rots <br />
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