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NEBRASKA - <br />Good life. Great Service. <br />941.01.111.1,,, telM81y <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000278-7 Pages: 1 <br />Debtor Name: LUIS R FONSECA MONJES <br />Filing Date and Time: 11/08/2022 09:09 AM <br />202207888 <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 />90963873 <br />Federal ID Number <br />Social Severity Number <br />XXX -XX -3223 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12200591 <br />Lien Filed WMt <br />Secretary of State, Register of Deeds <br />Data of Lien <br />06/02/2022 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Texpayer Name and Making Address <br />LUIS R FONSECA MONJES <br />2103 N SYCAMORE DR <br />GRAND ISLAND NE 68801 <br />Tax Years 2020 <br />UCC Instrument Number 22060003605 <br />County Instrument Number 202204276 <br />Type of Action <br />Termination ants <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has camped wall the laws M are Stale of Nebraska in determination of the <br />continuation, termination, partial release, or subonivtahon IndtcaIed above. <br />Revenue Agent 11/03/2022 (402)471-5712 <br />Preparer's Signature Tale Dale Phone Number <br />chris.dittmar@nebraska.gov <br />Email Address <br />Revenue Supervisor 11(03/2022 <br />or lied SignetuTitle Date 4832.1968 Rev. 8.2018 <br />Supersedes 4232.1See R.. 1.2015 <br />