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NEH KA- <br />�c:oa 6reat Servncti. <br />202205486 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2207001454-9 Pages: 1 <br />Debtor Name: ANTONE E ROUNDY <br />Filing Date and Time: 07/26/2022 09:52 AM <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 />Nebraska ID Number <br />45703876 <br />Lien Sena! Number Lien Fded With <br />Please Do Not Write In This Space <br />Federal ID Number <br />Social Security Number <br />XXX -XX -9616 <br />12057138 Secretary of State, Register of Deeds <br />Business Name and Location Address <br />Date of Lien <br />06/25/2020 <br />Tax Program <br />22 <br />Spouses Social Security Number <br />XXX -XX -2745 <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />ANTONE E ROUNDY <br />NICOLE A ROUND? <br />509 W 8TH ST <br />GRAND ISLAND NE 68801-4227 <br />Tax Years 2017: 2018 <br />UCC Instrument Number 20060013190 <br />County Instrument Numher 202004490 <br />Type of Action <br />Termination of Tax I'bc State Tax Lien is hereby fully terminated. <br />Lien <br />I nearby certify that the Nebraska Department or Revenue has nonrptied with the to <br />continuation, termination. partial release, or subordination indicated above. <br />rPreparer's Signature <br />sara.hol i iday;gnnbraska.gpv <br />Email Address <br />1 ,f% <br />,Authorized Sgtirture <br />of the State of Nebraska in rwierminalron of the <br />Revenue Agent 07/20/70/' (3081632-1208 <br />Title Date Phone Number <br />Revenue Supervisor <br />Title <br />07120.'2022 <br />Date <br />4.236-'950 Rev. d-2018 <br />Srpureu h.a 4.232 'eea Rev. I.20t5 <br />