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N.B- <br />Gc000 Lite. Ci -eat Serwce. <br />NE Sec of State - Robert B. Evnen - <br />Filing Document #: 2110001160-8 <br />Debtor Name: SHAUNELL MCCABE <br />Filing Date and Time: 10/28/202 I 09:12 AM <br />r1 3 <br />Pages: 1 <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 M This Space <br />Nebraska ID Number <br />8721440 <br />Federal ID Number <br />391909078 <br />Social Security Number <br />XXX -XX -9286 <br />Spouse's Social Security Number <br />t len Serial Number <br />11274246 <br />Lan Filed With <br />Secretary of State, Reuter of Deeds <br />Date of Lien <br />03/24/2012 <br />Tax Pmyram <br />21 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />SHAUNELL MCCABE <br />3335 WOODRIVER RD STE 4 <br />GRAND ISLAND NE 68801 <br />Tax Years 2011 <br />UCC Instrument Number 99126894796 <br />County Instrument Number 201202740 <br />Type of Action <br />® Continuation of Tax This is a continuation of an existing lien and serves to continua the lien and priority of the Nebraska Department of Revenue <br />Lien for an additional 10 years. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />acetum slion, termination. panel release, or subordination indicated above. <br />NaJZOlf, <br />,Praparet's Signature <br />Revenue Agent 10/19/2021 (4021471-6067 <br />i Ce Date Phone Number <br />Revenue Seninr Agent <br />Title <br />10/19/2021 <br />Date <br />4-232.1960 fie, 8.2018 <br />Supersede. 4432.19611 Rae. t-2015 <br />