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N_EBonc,4A <br />Gxa L fe. Great Scrvi.e. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2107001860-7 Pages: 1 <br />Debtor Name: SANDRA REYNOSO <br />Filing Date and Time: 07/29/2021 11:25 AM <br />2.02106459 <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 InThts Space <br />Nebraska IC Number <br />12495603 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -3347 <br />Spouses Social Security Number <br />Lien Serial Number <br />11928635 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Dab of Lien <br />05/15/2019 <br />Tar Program <br />1 <br />County <br />HALL <br />Business Name and Location Address <br />Tax ayer Name and Mailing Address <br />SANDRA REYNOSO <br />518 EAST CAPITAL AVE APT 51 <br />GRAND ISLAND NE 68801 <br />Tax Years 2017, 2018 <br />IJCC Instrument Number 19060009924 <br />County Instrument Number 201903562 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hentby carte that the Nebraska Department of Revenue has complied with the laws 01 the State of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />'th � Revenue Agent 06/03;2021 (402)471-5711 <br />Preparer's Signature Title Date Phone Number <br />/ `n <br />brian hn ssmak/it}ehrack�� <br />Email AddreFJ lJ. <br />O'Authoriz <br />7 <br />Revenue Senior Agent 07/27/2021 <br />Title Date 4-222-19Be Rev, t -20t$ <br />Supersedes 4-232• taSe Rev. 1-2015 <br />