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NE Sec of State - Robert B. Evnen <br />Filing Document #: 22050008 14-2 Pages: I <br />Debtor Name: MICHAEL S WELSH <br />Filing Date and Time: 05/19/2022 09:22 AM <br />2022i43699 <br />State Tax Lien Statement of Termination or <br />Ndbnnkr D'eoanmantnf <br />•RE.VENUE, Certificate of Partial Release or <br />a Subordination <br />PLEASE 0O NOT WRITE IN THIS SPACE <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 subordinated to the extent indicated <br />below, <br />Nebraska Identification Number <br />32207743 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -6623 <br />Spouse's Social Security Number <br />XXX -XX -2295 <br />Lien Serial Number <br />Date of Lien <br />Tax Category <br />County <br />11809317 <br />Lion filed with Register of Deeds <br />06/29/2018 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />MICHAEL S WELSH <br />SUSAN M WELSH <br />1832 N KRUSE AVE <br />GRAND ISLAND NE 68803 <br />Type of Action <br />TERMINATION OF TAX LIEN. The State Tax Lien Is hereby fully terminated. <br />TAX YEARS 2012, 2014 <br />(corporate, Individual Income, and withholding tax only) <br />UCC Instrument Number 99188151417 <br />County Instrument Number 201804316 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />PARTIAL RELEASE. The State Tax Uen is partially released as 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 follows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />dete�/mtlnaticn of the termination, partial release, or subordination reheated above. <br />sign 4.96 Q air. Revenue Agent 05/13/2022 (308)632-1203 <br />here Preparers Signature Title Cate Telephone Number <br />2-1-4A/t e& Revenue Supervisor 05/13/2022 <br />Authorized Signature Title Date <br />423286 Rea. 4-96 Supersedes 4-222.59 Rev.10-65 <br />