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ryEBR K - <br />Good Lite. Gnat Servos. <br />tawrwarr to rnreys <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108000523-1 Pages: 1 <br />Debtor Name: C &amp; .1 EMBROIDERY INC <br />Filing Date and Time: 08/10/2021 10:52 AM <br />202106846 <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 Writs In This Space <br />Nebraska ID Numbs <br />11881941 <br />Lien Serial Number <br />12059108 <br />Federal ID Number <br />471540626 <br />Social Security Number <br />Lien Fled win oats et Lien <br />Secretary of State, Register of Decd 08/10/2020 <br />Spousel Social SecutlIy Number <br />Tex Pregra <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />C & J EMBROIDERY INC <br />2620 S SHADY BEND RD <br />GRAND ISLAND NE 68801 <br />Tax Years 2019,2020 <br />UCC Insaument Number 20080005180 <br />County Instrument Number 202006063 <br />Type of Action <br />Ei Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />►P, <br />I hereby �/y�]th//at theNebraska <br />Noeebraska Department d Revenue has complied with the laws of the Stele of Nebraska In detemdnation of the <br />anualion tq �In-' ',X/ release. or subordination indicated cions. <br />etV <br />Signature <br />Revenue Agent 08/05/2021 (4021471-5956 <br />This Dab Phone Number <br />Revenue Senior Agent <br />litre baa <br />4-299.4268 Rw. 9.9ats <br />Suparladp 4,292.1965 Rey. 1.2015 <br />