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Geo(' (. fe. Greet Service <br />00.11111.111,1...11.11 <br />202166057 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2107000938-0 Pages: I <br />Debtor Name: CHONG KIM <br />Filing Date and Time: 07/16/2021 10:06 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 />Plea" Do Not write In This Space <br />Nebraska ID Number <br />9894969 <br />Federal ID Number <br />20-5830030 <br />Social Security Number <br />XXX -XX -2504 <br />Spouses Social Security Number <br />Lien Serial Number <br />11162686 <br />Lien Flied With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />09/09/2011 <br />Tax Program <br />01 & 21 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Meiling Address <br />CHONG KIM <br />PO BOX 50851 <br />CASPER WY 82609 <br />Fax Years 2007. 2008 & 2009 <br />UCC Instrument Number 99116734657 <br />County Instrument Number 201107456 <br />Type of Action <br />® Continuation of Tax This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Departmcm of Revenue <br />Lien for an additional 10 years. <br />I hereby certify that the Nebraska Department of pavwtue has complied with the laws of the Stab of Nebraska In determination of the <br />continuation, termination, parka! release. or subordkrtion indicated above. <br />' Revenue Senior Agent 07/13/2021 (402)471-5727 <br />Prepares Signature rids Date Phone Number <br />Sandra rlea¢nnCjt�nekav <br />EmnilAddresyt C <br />A <br />Authoria6d rynetue <br />Revenue Senior Agent 07/14/2021 <br />Tata Date {dig -!see ave 5 -ma <br />SipoNWs 4232-1561 R. 14015 <br />