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NE-ooAcvA <br />I GF+tat Svrvice. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2207001114-4 Pages: 1 <br />Debtor Name: LEANDRO BEDOLLA MEZA <br />Filing Date and Time: 07/19/2022 09:24 AM <br />202205322 <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 />Nebraska ID Number <br />48307939 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -3382 <br />Spouses Social Security Number <br />Lien Serial Number <br />12289890 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />01/27/2022 <br />Tax Program <br />22 <br />County <br />BALL <br />I Business Name and Location Address <br />Taxpa er Name and <br />Mailing Address <br />LEANDRO BEDOLLA MEZA <br />1216NCLARK ST <br />GRAND ISLAND NE 68801 <br />Tax Years 2020 <br />UCC Instrument Number 22020000955 County Instrument Number 202200888 <br />Type of Action <br />®'termination of Tax The State Tax Lien is hereby fully terminated. <br />hien <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />contimse:ion, termination. partial release, or subordination indicated above. <br />Revenue Agent 07/14,70/2 (4021471-0987 <br />ili.Preparer's Signature Title Dale Phone Number <br />Chao tang‘tebraska gov <br />Email Address <br />Revenue Supervisor 07;'14+2022 <br />0°'Aut.tiorized Signatuie 'title Dale 4.232it9a9 Rev, a-2018 <br />SUOeraerres 4.232,196B Re.. I.20t 5 <br />