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t oo,d Life. Cheat Seruire. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001236-9 Pages: 1 <br />Debtor Name: ROBERT C GARCIA JR <br />Filing Date and Time: 03/22/2022 09:01 AM <br />20220209-1 <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 />29785626 <br />Federal f) Number <br />Social Security Number <br />XXX -XX -6802 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12169532 <br />iren Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />02/23/2021 <br />Tax Program <br />22 <br />County <br />HALL <br />f Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ROBERT C GARCIA JR <br />2015 N HUSTON AVE <br />GRAND ISLAND NE 68801-7965 <br />lax Years 2016:2017:2015 <br />UCC Instrument Number 210301)02071 <br />County Instrument Number 202101788 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />1 hereby certify that the Nebraska Department of Revenue has corrptled with the taws of the State of Nebraska er determination 01 the <br />er rt uuatimr, terrn'trtatie r, partial release, or subordination irdiceled above. <br />Y7/9" <br />'Preparers Siyrtaturu <br />sera hollidayttnebraska you <br />Email Address <br />Revenue Agent 03117P022 (3081632-1708 <br />Tale Date Phone Number <br />Revenue Supervisor 03/17/2022 <br />Tale Date <br />4-232-' 966 Rev. 62015 <br />antra 4432- gee Hnv. 1-2015 <br />