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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203000037-3 Pages: 1 <br />Debtor Name: LARRY A HANSEN <br />Filing Date and Time: 03/01/2022 09:4$ AM <br />202201537 <br />State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />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 Med 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 />15588938 <br />Soot Security Number <br />XXX -XX -8929 <br />Lien Seidel Number <br />11805527 <br />Lien fled of <br />of <br />04/24/2018 <br />Tax Category Casty <br />22 HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAS <br />LARRY A HANSEN <br />2812 NORTH WE8$ ROAD APT 9 <br />GRAND ISLAND NE 88803 <br />of. <br />l] TERMINATION OF TAX LIEN. The State Tax Len is hereby fully terminated. <br />TAX YEARS 2010, 2011, 2012, 2013, 2014, 2015 <br />(corporate, Individual Income, and withholding tax only) <br />UCC Instrument Number 98188104191 <br />County Instnen.nt Number memos <br />Continuance: UCC Instrument Number <br />Continuance: Courtly Instrument Number <br />0 PARTIAL RELEASE. The State Tax Lien is partally rete <br />TAX YEARS <br />(corpora*, Individual income, and withholding tax only) <br />UCC instrument Number <br />County Instrument Number <br />0 SUBORDINATION, <br />The State Tax Lien Is subordhbted es follows, <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Rwenre has caroled with the menus laws at the State of foe rSSlrs h <br />determination of the termination. partial release, a subordination indicated above. <br />A:2,o4 t . ez ii17t.rm.: <br />Revenue Agent <br />Praparefs <br />Title <br />Z-1.4101 4441e, <br />Authorized Signature life <br />02/24/2022 <br />Date <br />(402)471-5713 <br />Telephone Nwnhar <br />Revenue Supervisor 02/24/2022 <br />Dare <br />4-2324$R,,. 4$e Supormiles 423740 Rot 144 <br />