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10/18/2022 3:38:43 PM
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10/18/2022 3:38:43 PM
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202207450
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6),‘() <br />Gond Lilo- Great Servic,. <br />202207450 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2210000644-7 Pages: 1 <br />Debtor Name: COREY SHELDON <br />Filing Date and Time: 10/18/2022 10:08 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 />10899286 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -6539 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11209824 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />12/10/2012 <br />Tax Program <br />Sales <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />COREY SHELDON <br />518 E. 5TH ST. APT. #3 <br />GRAND ISLAND NE 68801 <br />Tax Years 2011 <br />UCC instrument Number 99127046295 <br />County Instrument Number 201210675 <br />Type of Action <br />® Continuation of Tax <br />Lien <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in determlnation of the <br />continuation, termination. partial release, or subordination indicated above. <br />'Preparer <br />st.ou arlt(glnehraska goy <br />Email Addre <br />Revenue Supervisor 10/14/2022 (402)370-3337 <br />Date Phone Number <br />Title <br />Revenue Supervisor /4L/5d0�a <br />'Authorized Signature Title Date <br />4.232-1988 Rev. 8.2018 <br />Supersedes 4.232-1988 Rev, 1.2018 <br />
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