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Good L fe Gee: Sory ce <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2112000046-0 Pages: 1 <br />Debtor Name: JOSHUA NDUWAYO <br />Filing Date and Time: 12/01/2021 09:53 AM <br />292110199 <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 In This Spans <br />Nebraska ID Number <br />96410019 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -8015 <br />$pouse's Social Security Number <br />Lien Serial Number <br />11556598 <br />Lien Fled With <br />Secretary of State, Register of Deeds <br />Date at Lien <br />08/19/2015 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name end Location Address <br />Taxpayer Name and Mailing Address <br />NDUWAYO JOSHUA <br />616 E DIVISION ST <br />GRAND ISLAND NE 68801 <br />Tax Years 2012: 2013 <br />UCC Instrument Number 99157597767 <br />County Instrument Number 201505763 <br />Type of Action <br />Continuation of Tax <br />Licn <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify that the Nebasla Department of Revenue has complied with the laws of the Stab of Nebraska in deMmination of the <br />continuation. termination. partial release. or subordination indicated above. <br />Revenue Agent 11/19/2021 (402)471-5712 <br />'Preparees Signature Tile Date Phone Number <br />chris dittmar(g riehracka y v <br />Email Address <br />.._- _:/,_ Revenue Supervisor <br />Aid i:ed Signature Title <br />11/19/2021 <br />Dae <br />4.2J2•106e Rev. 8-2016 <br />Surereeoes 4_232-1966 Rev. 1.2015 <br />