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Goon L.Iea, Groat Service,. <br />bl1M,M041I eR OVWMtr! <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001239-6 Pages: 1 <br />Debtor Name: STEPHANIE ORTIZ <br />Filing Date and Time: 03/22/2022 09:07 AM <br />202202092 <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Pursuant to the revenue taws 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 />98725475 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -5584 <br />Spouse's Social Security Number <br />Lien SePat Number <br />12186991 <br />Lien Filed W9R <br />Secretary of State, Register of Deeds <br />Date td Lien <br />12/08/2021 <br />Tax Program <br />22 <br />County <br />BALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />J <br />STEPHANIE ORTIZ <br />424 COMMANCHE AVE <br />GRAND ISLAND NE 68803 <br />fax Years 2018 <br />UCC Instrument Number 21120009443 <br />County Instrument Number 2021 10639 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby eertity that the Nebraska Department of Revenue has comptied with the laws e1 one State of Nebraska in determination Pt the <br />car-lirauYtron, termination, partial release, Or subordination indicated above, <br />' �arher's netlire <br />brid tmartin knehraskagnv <br />Email ess <br />Revenue Agent 03116120'2 (108)632-I210 <br />Title Date Phone Number <br />RevenueSupervisor 03/1612022 <br />Title Date <br />4-232.1568 Nay, 020te <br />Supersedes 4-232 t0tie Rea. 1-2016 <br />