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by <br />NEBR/4'6 A- <br />G,ec Lae &rat ierv¢e. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000406-1 Pages: 1 <br />Debtor Name: VITAL SIGNS INC <br />Filing Date and Time: 01/07/2022 10:29 AM <br />102200207 <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 />8115109 <br />Federal 10 Number <br />470813036 <br />Social Security Number <br />Spouse's Social Security Number <br />Lien Serial Number <br />12050705 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />03/19/2020 <br />Tax Program <br />1, 21 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />VITAL SIGNS INC <br />2218 NEST 2ND ST <br />GRAND ISLAND NE 68803 <br />Tar Years 2017, 2018, 2019 <br />LSCC Instrument Number 2004000118-8 <br />County Instrument Number 202002033 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State tax Lien is hereby fully terminated. <br />1 he rob certify that the Nebraska Department of Revenue has complied with 10e laws of the Slate of Nebraska in determination of the <br />oontiwar• , .rmtnahon,. tial release, or subordination indicated above. <br />0. <br />! 1 t Revenue Agent 01103"022 (4021170-3501 <br />rer's Sig re Title Date Phone Number <br />l <br />mail i';4- Addrebroriertss(<�pghrst5ka goy <br />,Authorized Signature <br />_Rrvenue Supervisor <br />Tele <br />Date <br />'.�.p-.w�w�� 4-232•1908 a9+. e•sora <br />Su5•04.4-232.19de Foy. 1.2e' 5 <br />