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Good Life. Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201001022-0 Pages: 1 <br />Debtor Name GERALD MYERS <br />Filing Date and Time: 01/20/2022 11:05 AM <br />202200531 <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 StateTax 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 Writ In This Space <br />Nebraska ID Number <br />11123281 <br />Federal ID Number <br />78-3667412 <br />Social Security Number <br />XXX -XX -2482 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11287528 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />07/05/2012 <br />Tax Program <br />01 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />GERALD MYERS <br />3427 DEANN RD 9 <br />GRAND ISLAND NE 68801 <br />Tax Years 2011 & 2012 <br />UCC Instrument Number 99126953906 <br />County Instrument Numbcr 201205648 <br />Type of Action <br />® Continuation of Tax <br />Lien <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 />1 hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in delamination of he <br />continuation, te,mkwtion, partial release, or subordination indicated above. <br />Yin'uate..;4 r, Revenue Agent 01/10/2022 (402)471-6067 <br />'Renames Signature Title Date Phone Number <br />heidi mann@ iueska.geA A <br />Email � � �r <br />'Authorized lte`e <br />Revenue Senior Agent <br />Tine Date <br />01/11/2022 <br />4232.1566 Rev. 0-2018 <br />Svpenadee 4.232.1065 ,0-v. 14015 <br />