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NEBRASKA - <br />Good Lite. ureal S wire. <br />oeMmxx,w awau, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2204001179-4 Pages: 1 <br />Debtor Name: JORGE A BATISTA GUTIERREZ <br />Filing Date and Time: 04/22/2022 12:46 PM <br />202202978 <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 />Nebraatra ID Number <br />92386687 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0109 <br />Spouse's Sooal Security Number <br />Lien Serial Number <br />/2176566 <br />Lien Filed . Wah <br />Secretary of Stale, Register of Deeds <br />Date of Lien <br />07/15/2021 <br />Tax Program <br />22 <br />County <br />HALL <br />I_ Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JORGE A BATISTA GUTIERREZ <br />208 E 8TH ST <br />GRAND ISLAND NE 68801 <br />Tax Yeats 2018 <br />UCC Instrument Number 21070014629 <br />County Instrument Number 202106278 <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 complied with the laws of the State of Nebraska et determination of the <br />continuation. termination. partial release, or subordination indicated above. <br />Vki/41..¢. �Cc <br />Preparet's Signature <br />diane rickardt nebraska.gov <br />Email Address // LL ��// <br />�Audzat /f//9,4 L <br />Revenue Agent 04/14)2022 (30 m322- I206 <br />Title Date Ph <br />Revenue Supervisor 04/14/2022 <br />Tine <br />Date e-232-1968 Ron. te20ia <br />S+verseres d-232-19ea Rev. 1-a0ra <br />