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N_EBR ArS&l4A- <br />r pot ^e+vlse. <br />202206394 <br />NE Sec of State • Robert B. Evnen <br />Filing Document #: 2208001101-9 Pages: 1 <br />Debtor Name: ADAM L MARINE <br />Filing Date and lime: 08/31/2022 09:18 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 />Please Do Not Write In This Space <br />Nebraska ID Number <br />35680261 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -1558 <br />Spouses Social Security Number <br />Lien Serial Number <br />122%337 <br />Lien Filed Wah <br />Secretary oil -Slate, Register of Deeds <br />Date of Lien <br />04/07/2022 <br />Tax Rogram <br />22 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />ADAM I. MARINE <br />1013 N GREENWICH STREET <br />GRAND ISLAND NE 68801 <br />Tax Years 2018 <br />UCC Instnnnent Number 220400021082 <br />County Instrument Number 202202800 <br />1 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The Sale Tax Lien is hereby !idly terminated. <br />I hereby curtly Otat the Nebraska Department of Revenue has complied with the laws of the Stale of Nebraska In determination of the <br />continuation, termination. partial release, us subordination indicated above. <br />Z74,441-4 A;liga4.2 <br />11Psoparer's Signature <br />diane.rickard(i0cbraska.gov <br />Revenue Agent 08/24/2022 (308)632-1206 <br />Title <br />Date Phone Number <br />Email Address <br />LACLA A/1074. Revenue Supervisor 08/24/2022 <br />rAuthorized Signature TNIo Date <br />4232.1968 Rev. 8-2018 <br />sunanades 4232.1988 Res. 1-2018 <br />