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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2202000570-4 Pages: 1 <br />Debtor Name: NICHOLAS WINFREY <br />Filing Date and Time: 02/09/2022 10:16 AM <br />` 02201058 <br />State Tax Lien Statement of Termination or <br />VENUE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice Is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />99731037 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -7477 <br />Spouse's Social Security Number <br />XXX -XX -9615 <br />Lien Serial Number <br />Date of Lien <br />Tax Category <br />County <br />12052204 <br />Lien Bled with Register of Deeds <br />04/08/2020 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />NICHOLAS WINFREY <br />SARAH WINFREY <br />102 W PARADISE LK <br />PHILLIPS NE 68865 <br />Typo of Action <br />® TERMINATION OF TAX UEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2016 <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number 20040006439 <br />County Instrument Number 202002294 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />PARTIAL RELEASE. The State Tax Lien Is partially released as follows: <br />TAX YEARS <br />(corporate, individual Income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State Tax Lien is subordinated as folows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination, partial release, or subordination indicated above. <br />sign 41efla..iu / do/ <br />here Preparers Signature <br />if%6ee. <br />Revenue Agent 02/03/2022 (308)632-1203 <br />Title Date Telephone Number <br />Revenue Supervisor 02/03/2022 <br />Authorized Signature Title <br />Date <br />1.11249 R.v.1.96 S.opwrs.dm 4212,e9 R.r. 1045 <br />