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NESRA&KA- <br />ko:.l Life. Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2112000248-6 Page: 1 <br />Debtor Name: DEVON J KURZ <br />Filing Date and Time: 12/03/2021 10:52 AM <br />202110272 <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 Tina Space <br />Nebraska ID Number <br />323443/7 <br />Federal 10 Number <br />Social Security Number <br />XXX -XX -1503 <br />Spouses Social Security Number <br />Lien Serial Number <br />11809577 <br />Len Feed With <br />Secretary of State, Register of Deeds <br />Date of Lniin <br />07/05/2018 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DEVON 1 KURZ <br />2011 W 11TH STREET <br />GRAND ISLAND NE 68803 <br />Tax Years 2016 <br />',JCC Instrument Number 99188152596 <br />County Instrument Number 201804395 <br />Type of Action <br />O Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lion <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination 01 the <br />continuation termination, partial release, or subordination indicated above. <br />'c5:24.42,L l r <br />Pruparer'a Signature <br />earn hnllidayr4 <br />nehraekaav <br />Email Address <br />'Autho f' d p�rh• lure <br />Revenue Agent 11/24/2021 (10S)632-1208 <br />Title Date Phone Number <br />Revenue Supervisor 11/24/2021 <br />Dee Date <br />5-232.1558 her. 9.20,E <br />Supwsadea u•232 -r988 hee. 1.2015 <br />