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2021100 <br />NE Sec of State - Robert B. Eynon <br />Filing Document #: 2111001405-7 <br />Debtor Name: ALEJANDRO FIGUEROA <br />Filing Date and Time: 11/29/2021 09:35 AM <br />Pages: 1 <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />wwr.rrr�nw. M.��r <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 Identification Number <br />48664960 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -6116 <br />Spouse's Social Security Number <br />Lien Serial Number <br />Date of Lien <br />Tax Category <br />County <br />12176575 <br />Uen flied with Register of Deeds <br />07/15/2021 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />ALEJANDRO FIGUEROA <br />2004 N WHEELER AVE APT 7E <br />GRAND ISLAND NE 68801 <br />Type of Action <br />® TERMINATION OF TAX UEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2018 <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Number 21070014610 <br />County Instrument Number 202106277 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />PARTIAL RELEASE. The Stale Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The Stale Tax Lien is subortfxtated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws 01 the Stale of Netxaska in <br />detemitnation of the termination, partial release, or subordxtation irxicated above. <br />/1CLt f,ta aG; t.1Revenue Agent 11/17/2021 (402)471-5833 <br />Preparees Signature Title Date Telephone Number <br />L <br />A4,4g/.. Revenue Supervisor 11/17/2021 <br />Authorized Signature <br />Title Date <br />441540 Rt. 4-91 SrgnwMs 4.23249 Rev 1045 <br />