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202107079
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8/18/2021 3:22:31 PM
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8/18/2021 3:22:31 PM
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202107079
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1\1_E2PA€4 � .- <br />Conti I.ik' ,rest Ser.tiCe. <br />011."41100111.11, 11141,VOIV{ <br />202107079 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108001111-7 Pages: 1 <br />Debtor Name: RICARDO RODRIGUEZ <br />Filing Date and Time: 08/18/2021 09:40 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 />Please Do Not Write In This Space <br />Nebraska ID Number <br />10776907 <br />Federal 10 Number <br />27-2807333 <br />Social Security Number <br />XXX -XX -7464 <br />Spouse's Social Secunty Number <br />lien Senal Number <br />11269083 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />02/02/2012 <br />Tax Program <br />01 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />RICARDO RODRIGUEZ <br />4006 REED RD <br />GRAND ISLAND NE 68801 <br />Tax Years 2010 <br />UCC Instrtunent Number 99126845313 <br />County Instrument Numbcr 201201026 <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 Department of Revenue <br />Lien for an additional 10 years. <br />thereby certify that the Nebraska Department of Revenue has complied with the taws of the State of Nebraska in determination of the <br />continuation, termination. partial rebase, or subordination indicated above. <br />yY� //LCUUL <br />'Preparer's Signature <br />Revenue gent 08/09/7021 (4021471-6067 <br />Tale Date Phone Number <br />heidi ma rgrncbrack <br />Email <br />I Revenue Senior Agent <br />Aum ,ynatu Title <br />08/09/2021 <br />Date <br />1.232-1969 Rev. 6-2018 <br />Supers.Ms 4-232.1 968 Fier. 1-2015 <br />
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