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202110919
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12/27/2021 3:10:40 PM
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12/27/2021 3:10:40 PM
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202110919
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NEBRASKA - <br />(icon L:fe. Great Service, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2112001350-7 Pages: 1 <br />Debtor Name: MEGAN L WIECK <br />Filing Date and Time: 12/27/2021 10:44 AM <br />202110919 <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 Space <br />Nebraska ID Number <br />46525211 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -1785 <br />Spouses Social Security Number <br />Lien Serial Number <br />12179577 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />08/27/2021 <br />Tax Program <br />22 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />f <br />MEGAN L WIECK <br />224 COMMANCHE AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 201 S <br />UCC Instruntent Number 21090002428 <br />County Instrument Number 202107574 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in detemenetion of the <br />continuation. termination, partial release, or subardnation indicated above, <br />s <br />Pteparer's Signature <br />sara boll iday(ftlnehraska,gpv <br />Email Address <br />Revenue Agent 12/21/2021 (108)632-1208 <br />Date Phone Number <br />Title <br />- eiNCS& Revenue Supervisor 12/21/2021 <br />• / uthodzed Signature Title Date <br />4-292.11165 Rev. a -Sole <br />Supersede. 4-292-tWWa Rev. 1-2015 <br />
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