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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108000699-3 <br />Debtor Name: ROLANDO TINIGUAR NAZ <br />Filing Date and Time: 08/12/2021 09:59 AM <br />Pages: 1 <br />202106909 <br />ti.� , ..,' State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number JFederal Identification Number <br />94079706 <br />Lien Serial Number <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Social Security Number <br />XXX -XX -3829 <br />Spouse's Social Security Number <br />11801110 (Lien filed with Register of Deeds <br />BUSINESS NAME AND LOCATION ADDRESS <br />Date of Len !Tax Category County <br />01/31/2018 22 HALL <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />ROLANDO TINIGUAR NAZ <br />823 W 17TH ST <br />GRAND ISLAND NE 68801 <br />Type of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated, <br />TAX YEARS 2015 <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Number 99188055297 <br />County Instrument Number 201800889 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />❑ PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCCInstrument Number <br />County Instrument Number <br />UCC Instrument Number <br />County Instrument Number <br />i hereby certify that the Nebraska Department of Revenue has complied wdh the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />Revenue Agent 08/05/2021 (402)471-5713 <br />Title Date <br />Telephone Number <br />Revenue Supervisor <br />Title <br />08/05/2021 <br />Date <br />4-232.68 Rev 848 544841$14411 4-23249 Rev. 1040 <br />