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c nct4A <br />Good L., re. Great SF.ry:cr, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001016-7 <br />Debtor Name: JUAN MARTINEZ ZARATE <br />Filing Date and Time: 03/17/2022 12:05 PM <br />Pages: 1 <br />2O220194'9 <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 ID Number <br />90711882 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0204 <br />Spouse's Social Seemly Number <br />Lien Serial Number <br />12175329 <br />Lien Filed With <br />Secretary of State, Register of ►weds <br />Date of Lien <br />06/22/2021 <br />Tao Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />f <br />JUAN MARTINEZ ZARATE <br />1108 AVE A <br />DODGE CITY KS KS 67801 <br />Tax Years 2017: 2018: 2019 <br />UCC Instrument Number 21060011632 <br />County instrument Number 20210539$ <br />Type of Action <br />® Termination of Tax The State Tax Lien is hereby hilly terminated. <br />Lien <br />I hereby certify mat the Nebraska Department el Revenue has complied wim the laws of the State of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />Revenue Senior Agent 03/1412077 (402)471-4339 <br />'Prepafer's Signature Title Date Phone Number <br />hrandnn hrown?nehrsska ov <br />Email Address <br />d ✓fr"-°'. . `%' Revenue Supervisor 03/14/2022 <br />P.-Au/homed Siggnatuje Title Date 4-232-tu(18 Rev, 5-20a <br />supersedes 4-232.16.64) Rev. t•2013 <br />