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NFA_ <br />Good L;ie. G•eet Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000646-7 <br />Debtor Name: FRUIT -DIEGO LEON <br />Filing Date and Time: 01/11/2022 09:22 AM <br />Pages: I <br />202200183 <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 It) Number <br />12445703 <br />Federal ID Number <br />810950306 <br />Social Security Number <br />Spouses Social Security Number <br />Lien Serial Number <br />11943043 <br />Lien Red With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />11/13/2019 <br />Tax Program <br />1, 21 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />J <br />FRUIT -DIEGO LEON <br />121 E 14TH ST <br />GRAND ISLAND NE 68801 <br />Tac Years 2017, 2(118 <br />UCC Instrument Number 19120001181 <br />County Instrument Number 201907646 <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 N determination of the <br />#▪ 761kgtra <br />ponlinuation, tenation, partial release, or subordination Indicated above. <br />�/�/Revenue Agent 01/07/2022 (402)471-5956 <br />ture Title Date Plane Number <br />erika rnhles@nebraska pyw <br />Email Address <br />,r <br />� �Y (* MCP( <br />"' Revenue Supervisor 1/7/2022 <br />Authorized Sk�wture Title Date <br />4.232.1468 Rev. 8.2015 <br />Supersedes 4-232.1968 Rev. 1-2015 <br />