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202108081
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Last modified
9/22/2021 3:43:54 PM
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9/22/2021 3:43:54 PM
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202108081
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t� <br />NFBo 'KA, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2109001077-3 Pages: 1 <br />Debtor Name: GAYLENE A OLSEN <br />Filing Date and Time: 09/22/2021 11:54 AM <br />202108081 <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />• <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 />39316491 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -6671 <br />Spouse's Serial Security Number <br />Lion Serial Number <br />11562854 <br />Lien Filed With <br />Secretary of Slate, Register of Deeds <br />Dale of Lien <br />12/22/2015 <br />Tan Program <br />22 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />i <br />GAYLENE A OLSEN <br />2323 BELLWOOD DR TRAILER 107 <br />GRAND ISLAND NE 68801 <br />Tax Years 2012 <br />GCC Instrument Number 99157657854 <br />County Instrument Number 201508768 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby filly terminated. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the Stale of Nebraska in hick: anatee+ of the <br />continuation. termination. partial release, or subordination Indicated above. <br />preparers $Mnatu'F <br />yarn hollidayFrrnehraska gm <br />Email Address <br />d natur6 '� <br />ilteatillitAge.11L. 09/17/2021 (308)632-1208 <br />T.tle Date Phone Number <br />7 <br />Revenue Supervisor 09:17/2021 <br />Title <br />Date <br />4-232-t38S Rev. 0.2018 <br />Supersedes 1232.1808 Rev. 1.2015 <br />
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