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202207452
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Last modified
10/18/2022 3:38:50 PM
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10/18/2022 3:38:50 PM
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202207452
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Go oc Ie. Creat Ser. -e. <br />ITIV.T•trOri Of $16.111111. <br />202207452 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2210000645-6 Pages: 1 <br />Debtor Name: COREY SHELDON <br />Filing Date and Time: 10/18/2022 10:11 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 />11209841 <br />Lien Filed With <br />Secretary of Slate, Register of Deeds <br />Date of Lien <br />12/10/2012 <br />Tee Program <br />21 <br />County <br />HALL <br />Business Name and Location Address <br />Tax sayer 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 99127046271 <br />County Instrument Number 201210673 <br />Type of Action <br />Continuation of Tax <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />Lien for an additional 10 years. <br />1 hereby certify that the Nebraska Department of Revenue hes complied with the laws of the Slate o1 Nebraska in determination of the <br />continuation, ler nation, partial release, or subordination indicated above. <br />10.Preparer's <br />won arltVntebraska gov <br />Email Address <br />,AuthorizerelinatuR ~— � <br />Revenue Supervisor 10/14/2022 (402)370-3337 <br />Tale Date Phone Number <br />Revenue Supervisor <br />Tide <br />Dale 4.732.1988 Rev. 8.2018 <br />Supersedes 4-232-1988 Rev. 1-2015 <br />
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