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202203839
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5/24/2022 4:04:40 PM
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5/24/2022 4:04:40 PM
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202203839
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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2205001196-0 Pages: 1 <br />Debtor Name: JACK MYLOTT <br />Filing Date and Time: 05124/2({22 0:2 <br />4. 2203839 <br />,>,°\ <br />Do <br />STATE TAX LIEN • NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL General Counsel <br />P.O, Box 94600 <br />Lincoln, NE 88509-4600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or Liable Person: <br />Address: <br />• NDOL Serial No.: <br />NDOL Acct No: <br />Federal ID No. 1 SSA No.: <br />Jack Mykttt f/d/b/a Complete Repair Service <br />3447 N. Hwy. 281 Grand Island, NE 68803 <br />LAB -0109-2005 <br />xxxxxx2008 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds In the following County/Counties: <br />xx-xxx2501 /xxx-xx-1261 <br />Hap <br />Howard <br />State Tax Lien to be TERMINATED: <br />COUNTY: Hall <br />. STL Document Number <br />STL Date T Time: ,. <br />County Filing Number: <br />County Date / Timex <br />9905404259-2 (original) <br />7/2112005 10:38 am <br />200506993 <br />7/22/2005 @ 10:18 am <br />9915751902-8 (continuance) <br />4/8/2015 eD 2:02 pm <br />2015021:+: <br />4/8/2016 @ 2:58 pm <br />COUNTY: Howard <br />STL Document Number: <br />STL Date T Time: <br />County Filing Number. <br />County Date / Time: <br />9905404259-2 (original) <br />7/21/2005 ., 10:38 am <br />Bk. 6 State Tax Liens, Pg. 414 <br />7/22/2005 .e 9:00 am <br />9915751902-8 (continuance) <br />4/8/2015 @ 2:02 pm <br />Bk. 5 State Tax Vers, Pg. 491 <br />4/8/2015 @ 3:29 pm <br />I CERTIFY that this TERMINATION serves to remove the lien described above end the priority of the Nebraska Department of Labor on the <br />affected properly of this employer or person, and that It is filed pursuant to Neb. Rev. Stat. §§48-657, 48460.01, 48464, and the Uniform State <br />Tax Lien Registration & Enforcement Act (Neb. Rev. Stet: 577-3601, of seq.). <br />Date: May 20, 2022 <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />KATIE BOi,eG iK al Counsel <br />ELIZABETH CANO, Legal Counsel <br />L1Oe1e0tCou ltUgntDOCUMEHi6 4Tae LteneSL Nings10300000OOd0O 0e462 008 07-214008 tnn.docx <br />Return Filed Copies To: NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln NE 68509.4600 <br />NE Department of Labor <br />Charge Account #14765 <br />
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