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NEBR. <br />Con:: .fe Grca; Sery+re <br />202105341 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106001111-9 Pages: 1 <br />Debtor Name: JOHN A SAUTFER <br />Filing Date and Time: 06/24/2021 10:26 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 />33968306 <br />Federal 10 Number <br />Social Security Number <br />XXX -XX -5679 <br />Spouse's Social Security Number <br />Lien Serial Number <br />206329 <br />Lien Filed With <br />Secretary of State. Register of Deeds <br />Date of Lien <br />12/21/2011 <br />Tax Program <br />22 <br />County <br />HALL. <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />—] <br />JOHN A SALTIER <br />PO BOX 207 <br />GRAND ISLAND NE 68802 <br />Tax Years 1996 <br />ICC Instrument Number 99022235276; 991 16800,168 <br />County Instrument Number 0200206775: 201109622 <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 of Revenue has Complied with the laws of the State of Nebraska in determination of the <br />continuation. termination, partial release, or sutomoinaton indicated above. <br />Revenue Supervisor 0612112021 (402}471-5821 <br />,Preparers Signature Title Date Prone Number <br />Steve schraederi nebrsska gov <br />Email Ad fess <br />Revenue Supervisor <br />06/21/2021 <br />zed Signa are <br />Title <br />Date 4732-,968 Rev. 8.2018 <br />Supersedes 1.232 1968 Rev 1-2215 <br />