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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2203001492-3 Pages: 1 <br />Debtor Name: CESAR JACINTO <br />Filing Date and Time: 03/29/2022 09:33 AM <br />-- State Tax Lien Statement of Termination or <br />rrebreeke D rurienter <br />1lawdE Certificate of Partial Release or <br />�xusev <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SP <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 filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or stK►ordinated to the extent Indicated <br />below. <br />Nebraska Identification Number <br />97384798 <br />Federal Identification Number <br />Soefal Security Number <br />XXX -XX -1801 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12180742 <br />lien flied with Register of Deeds <br />Date of Lien <br />09/14/2021 <br />Tex Category <br />22 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />CESAR JACINTO <br />3808 E SEEDLING MILE RD <br />GRAND ISLAND NE 68801 <br />Type or Action <br />® TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated, <br />TAX YEARS 2019 <br />(corporate, Individual Income, and withholding tax only) <br />UCC Instrument Number 21090010463 <br />County Instrument Number 202108079 <br />Continuance: UCC Instrument Number <br />Continuance; County Instrument Number <br />PARTIAL RELEASE. The State Tax Lien is partially released es follows: <br />TAX YEARS <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State Tax Uen Is subordinated as blows. <br />yCc Instrument Number <br />County Instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Revenue-5as marked wtth the revenue laws of the State of Nebraska kr <br />determination of the termination. partial release, or subordination indicated above. <br />/1Gd 4LC1r 'ske eitG <br />Preparers Signature <br />L % �86& <br />Authorized Signature <br />Revenue Agent 03/24/2022 (402)471.5833 <br />True Date Telephone Number <br />Revenue Supervisor 03/24/2022 <br />Title Date <br />42334$ Rev. see Supetad,s 4.23289 Rev.1045 <br />