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NEBRASKA - <br />Good Life Great Service <br />MWOwrw1lnwa <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2205000223-6 Pages: 1 <br />Debtor Name: THOMAS PHILLIPPS <br />Filing Date and Time: 05/04/2022 10:23 AM <br />202203304 <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 StateTax Lien <br />against the taxpayer identified Mow, the original notice of which <br />was duly fated of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />' Ito Write InYhis Space <br />Nebraska ID Number <br />39747913 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -5307 <br />Spouses Social Security Number <br />Lien Serial Number <br />11936795 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />bate of Lien <br />08/28/2019 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />_ Taxpayer Name and Mailing Address <br />THOMAS PHILLIPPS <br />323 COMANCHE AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2013 <br />UCC Instrument Number 39090000726 <br />County Instrument Number 201905416 <br />Z Termination of Tax <br />Lien <br />Type of Action <br />The State Tax Liar is <br />fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has complied with the taw ot the State of Nebraska In determination at the <br />continuation, termination, partial release. or stthentatdon indicated about. <br />y 716 / Revenue Agent 04/2S/2022 008)632-1210 <br />neturc lite Date Phone Number <br />hrid m ,erti ehrxkm goty <br />Erteil Addresst@t <br />6 Leal AA4h.. <br />Auttantrea signature <br />Revenue Supervisor <br />Title <br />04/28/2022 <br />bate <br />42324e68 Rev. aaota <br />Supersede sssateBi Rev. teats <br />