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riEBRAC..,K A <br />Good i!e. Great S.•.rvme. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2202000574-0 <br />Debtor Name: VINCENT T MENDEZ <br />Filing Date and Time: 02/09/2022 10:27 AM <br />Pages: 1 <br />l <br />202201058 <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 />Do <br />Please Not Write in This Space <br />Nebraska ID Number <br />13408496 <br />Federal ID Number <br />821268132 <br />Social Security Number <br />XXX -XX -5058 <br />Spouses Social Security Number <br />Lien Serial Number <br />12103480 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />08/02/2021 <br />Tax Program <br />1 <br />County <br />HALL <br />f Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />VINCENT T MENDEZ <br />D/B/A MENDEZ ENTERPRISES <br />2404 WEST LINCOLN HWY <br />GRAND ISLAND NE 68801 <br />Tax Years 2019 <br />LICC instrument Number 2108000611-5 <br />County Instrument Number 202106888 <br />Type of Action <br />(3 Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby certify that the Nebraska Department o1 Revenue hes complied with the taws of the State of Nebraska in determination of the <br />continuation. termination, partial release, or subordination indicated above. <br />1/Gei.(2C. <br />e Cca 1t' rt - <br />4)41 Revenue Agent 01/31/2022 (402)471-5717 <br />Preparer's Signature Tale Dale Phone Number <br />rebecca wardrinebraska gnv <br />Email Address <br />Revenue Senior Agent <br />,Authorized Signature Title <br />2-1-2022 <br />Date <br />4.232.1968 Rev. 8.2038 <br />Supersedes 4-232-1968 Rev. I-2016 <br />