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a1.01,W 1 or nwcw� <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106000628-7 Pages: I <br />Debtor Name: ADAM D HAHN <br />Filing Date and Time: 06/15/2021 11:10 AM <br />202105062, <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 Federal ID Number <br />38476495 <br />Social Securty Number <br />XXX -XX -1015 <br />Spouses Social Securty Number <br />Lien Serial Number i Lien filed With <br />11166554 I Secretary of State, Register or Deeds <br />Dale of Lien <br />12/07/2011 <br />Tax Progam <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />ADAM D HAHN <br />4215 KAY AVE <br />GRAND ISLAND NB 68803 <br />TEs Years 2007: 2008 <br />CCC Instrument Number 99116790198 <br />County Instrument Number 201109280 <br />Type of Action <br />® Continuation of Tax <br />Lieu <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 complied with the laws of the State of Nebraska in determination of the <br />continuation, termination, partial release, cr aubordmalion indicated above. <br />ignature <br />jeff hof0 nebraska gov <br />Email Add <br />Revenue Agent 06104;2021 (308)632-1203 <br />Date Plane Number <br />Title <br />9n <br />Revenue Supervisor 06.09./2021 <br />title Date <br />4.532.1908 Rev. 62016 <br />Supersedes 4-232-1968 Rev, I-2015 <br />