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111111111111111111.1111111111111111111111111111111 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111001050-1 Pages: 1 <br />Debtor Name: CARLOS A MARTELL <br />Filing Date and Time: 11/192021 09:29 AM <br />State Tax Lien Statement of Termination or <br />x.a«a, t3...men.m .• <br />REVENUE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identfication Number <br />95335196 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -3454 <br />Spouse's Social Security Number <br />Lien Serial Number <br />Date of Lien <br />Tax Category <br />Canty <br />11796965 <br />Lien filed with Register of Deeds <br />11/06/2017 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />CARLOS A MARTELL <br />11655 BRIAR FOREST DR APT 174 <br />HOUSTON TX 77077 <br />Typo of Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2013 <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number 99178013805 <br />County Instrument Number 201707662 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />El PARTIAL RELEASE. The State Tax Lien is parially released as follows! <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />SUBORDINATION. <br />The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Revenue has oanulied with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release. or subordination indicated above. <br />Revenue Agent 11/15/2021 (402)471-5928 <br />Preparers Si,,_ <br />//- <br />Authorized Signature <br />Title <br />Revenue Supervisor <br />Date Telephone Number <br />11/15/2021 <br />Title Date <br />423268 Ray 8.66 Supersedes 4232.69 Rn. 1046 <br />