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Good L.R. [.real Service. <br />202109629 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111000639-5 Pages: 1 <br />Debtor Name: JASON M RHOADS <br />Filing Date and Time: 11/12/2021 09:05 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 flied of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Pleats Do Not Writs InThlt Space <br />Nebraska ID Number <br />41805887 <br />Federal ID Number <br />Social Securty [came* <br />XXX -XX -1082 <br />Spousal Social Security Number <br />Lion Serial Number <br />11938970 <br />Leen Feed YMd, <br />Secrcary of State, Register of Deeds <br />Dare of Lien <br />09/24/2019 <br />Tax Program - <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JASON M RHOADS <br />1003 W 9TH STREET <br />GRAND ISLAND NE 68801 <br />Tax Years 2015 <br />UCC Instrument Number 19100000412 <br />County Instrument Number 201906069 <br />Type of Action <br />Termination utTax <br />Lien <br />The Statc Tax Lien is hereby fully terminated. <br />1 hereby cen0y tna 0,e Nebraska Department of Revenue hes coetPaed Wet the lees of the Sere of Nebreslu in dslermetsrlon of the <br />continuation. lemtiOatIon, partial release. or subordenstfon indicated above. <br />)12401a -/—Revenue Agent 11/04/202.1 (3081632-1208'd)ter SA4rature <br />Tile pats Minna Number <br />Sara hnilid. < tebraska gnu <br />Email • .`4,0 <br />ed Slgnelure <br />Revenue Supervisor 11/04/2021 <br />Taal <br />Dale 4.232.II114 ore, 5-20te <br />Supersedes 4.222-1M0R.e /-2040 <br />