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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111000935-6 Pages: 1 <br />Debtor Name: FAMOS CONSTRUCTION INC <br />Filing Date and Time: 11/17/2021 11:29 AM <br />l <br />202109783 <br />State Tax Lien — Statement of Continuation or <br />NEA€44A- Termination; Certificate of Partial Release <br />or Subordination <br />Good Life. Great Service.' <br />.r...,..,.......,. <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 />Ple ase D0 Not Write in This Space <br />Nebraska ID Number <br />9046003 <br />Federal ID Number <br />200934097 <br />Sodas Security Number <br />i -- <br />Spouse's 3005113e6xity Number <br />Ue11 Serial Number <br />12111580 <br />lien Filed With <br />Secretary of State, Register of Dads <br />Date of Lien <br />04/08/2021 <br />Tex Program <br />21 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />J <br />FAMOS CONSTRUCTION INC <br />PO BOX 1665 <br />GRAND ISLAND NE 68802 <br />Tax Years 2019, 2020 <br />UCC Instrument Number 21040011384 <br />County Instnunent Number 202103194 <br />Type of Action <br />Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby certty dmf the Nebraska DeParmwnt of Revenue has comoked with lie laws of the State of Nebraska in determination of the <br />inration, t mglion, in release, or subordination indicated above, <br />Signature <br />erikR mbles(g ttebrsskn.gnv <br />Email Address <br />U3 <br />,Autto ed Signature <br />Revenue Agent 11/12/2021 (402)471-5956 <br />Tisa Date Phone Number <br />Revenue Supervisor 11.22,2021 <br />Title- Date 4.292-1 aha Rw.9.201e <br />aupaaada 4272.1066 R.t% 1@016 <br />