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NF.SRA-Si4A <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2106001187-2 Pages: 1 <br />Debtor Name: MOHAMED 1 HUSSEIN <br />Filing Date and Time: 06/25/2021 10:50 AM <br />'02105399 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Please Do Not Write In This Space <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 />Nai,rasko iC vnmber 1 7edrraf in Nto**, T _social Sono ty N,realer 1 Spa.ses Social Security N.:.^, bo, <br />97574236 1 111 XXX -XX -6538 <br />ler. Seal Nurnbor i 1. en Filer: w$'- 1 Cate c-1 i ?3n 1 ":a. Pr,;q•ar t Cwmy <br />11666979 Nee retaiyofStair, 03/1412016 <br />Business Name and Location Address 1 TaxEayer Name and Mailing Address <br />MMOL 1 e1ED 1 HUSSEIN <br />1710 N BROAD\NELL. APT 5 <br />GRAND ISLAND NE 68803 <br />rt>Years 2011 C'ICfilcc7?oalg(el <br />LCC Instrument Number "n1tir-L24SL County Instrumcnt Number 201601564 <br />Type of Action <br />rerntinaii;m of Tax fh; Slate Tae Lien is herein lidl! tenni:wed. <br />I.icn <br />1 hereby certify anal the Nebraska Department of Ree has compked with tits k+rvs c1 the State of Nebraska In cox, mar;nt von of the <br />epotima'.ioe lerm.natwn _artist releas t. O1 s.:xrdina:ion inJicak:d atww, <br />'P•eparef's SK r-atore <br />Recenuc Agent.. 06.;04�'0'1 (401471-6043 <br />Title Dire Prione Nun::rer <br />Email Adfres <br />Revenue Soj rvisar�._..,.. 06'04'2021 <br />Ayth7� ft;d Sgrrattoe TNIe '-- Dai <br />4.212- 56a ie.. E-2D'.a <br />SJPMseteS 4 232 968 aE: ' 2:1`5 <br />