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Good Life Greet Service. <br />0110..111.11 111••••ROIR <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2206000857-6 <br />Debtor Name: FRANK GOMEZ <br />Filing Date and Time: 06/17/2022 10:15 AM <br />Pages: 1 <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 />Reese Do Nom" Innis Spew <br />Nebraska ID Number <br />40398862 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -4127 <br />Spouse's Social Securty Number <br />Lien Serial Number <br />12066759 <br />Lien Feed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />12/17/2020 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Tax sayer Name and Melling Address <br />FRANK GOMEZ <br />211 CHEROKEE AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2017 <br />UCC Instrument Number 20120009240 <br />County instrument Number 202010058 <br />Type of Action <br />Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />I hereby certify that the Nebraska Department of Reveres has complied with the laws ol tie State of Nebraska In determination of the <br />continuation, termination, partial release. or subordirabon indicated above. <br />11°Preparer's Signature <br />Iaurit rnadscnL nahtaska_gov <br />Email Address <br />Taxpayer Services Specialist 11 06!1312022 (402)471-5916 <br />Title tate Prone Number <br />Revenue Supervisor 06/13/2022 <br />Title <br />Date 4292.1968 Rev. 620te <br />Supeneoes 4232-1968 Nee 1.2015 <br />