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N5 -81446447k <br />Good Life. Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108000700-8 Pages: 1 <br />Debtor Name: AHMED MOHAMED AHMED <br />Filing Date and Time: 08/12/2021 10:01 AM <br />202106910 <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 In This Space <br />Nebraska 10 Number <br />93290373 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -5618 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11927832 <br />Lien Filed With <br />Secretary of State, Register or Deeds <br />Date of Lien <br />04/23/2019 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />AHMED MOHAMED AHMED <br />629 KENNEDY DR APT 4 <br />GRAND ISLAND NE 68803 <br />Tax Years 2017 <br />UCC Instrument Number 19040016971 <br />County Instrument Number 201902425 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hcrcby fully terminated. <br />1 hereby certify mal the Nebraska Deparlmers of Revenue has complied with the laws of the Slate of Nebraska in determination Ot the <br />continuation, termination, partial release, or subordination indicated above. <br />'5124 Z- // Revenue Agent 08/05/2021 (308)632-1208 <br />Preparers Signature Title Date Plane Number <br />warn hnlli avanehracka gov <br />Email Addr s <br />Revenue Supervisor 08/05/2021 <br />rued Signature r (" Title Date <br />4232.1968 Rev. 6-2018 <br />Supersedes a-232-1966 Ren. 1.2015 <br />