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202206760
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9/19/2022 4:15:38 PM
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9/19/2022 4:15:38 PM
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202206760
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202206760 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2209000647-8 Pages: 1 <br />Debtor Name: ESTEBAN ORDONEZ NIX <br />Filing Date and Time: 09/19/2022 08:49 AM <br />__ +,aMaska Dsoa rtmara a' <br />•rr-�--�-- State Tax Lien Statement of Termination or <br />REVENUECertificate of Partial Release or <br />.. _.........,,..... Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />47767200 <br />Federal Identification Numb <br />Social Security Number <br />XXX -XX -6762 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12203071 <br />Lien filed with Register of Deeds <br />Date of Lien <br />07/11/2022 <br />Tax Category <br />22 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />ESTEBAN ORDONEZ NIX <br />414 N ELM ST APT 4 <br />GRAND ISLAND NE 68801 <br />Type of Action <br />El TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX YEARS 2019 <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number 22070009945 <br />County Instrument Number 202205295 <br />Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />0 PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />determination of the termination. partial release. or subordination indicated above. <br />sign /f,44. t... Revenue Agent 09/07/2022 (308)632-1201 <br />here Preparers Signature Title Date Telephone Number <br />Leai %%61a- Revenue Supervisor 09/07/2022 <br />Authorized Signature Title <br />Date <br />4-212-85 R. 8.58 Superseaes 4-28240 Rev 18.95 <br />
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