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Good Vs. Greet Service, <br />1.001,1P,t Oi WV... <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000601-1 Pages: 1 <br />Debtor Name: KAILEY B FRITZ <br />Filing Date and Time: 11/17/2022 08:47 AM <br />State Tax Lien — Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />I'arsuant 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 />Pope Do Not Write In This Space <br />Nebraska ID Number <br />93228732 <br />Federal ID Number <br />Serial Security Number <br />XXX -XX -8064 <br />Spouses Sociel Seourlry Number <br />Lien Serial Number <br />12183350 <br />Lien Fried Web <br />Secretary of State, Register of Deeds <br />Date of Lien <br />10/22/2021 <br />Tax Pmpam <br />22 <br />County <br />HALL <br />1 Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />I <br />KAILEY B FRITZ <br />904 RIDGEWOOD AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2020 <br />UCC Instrument Number 21110001521 <br />County lustrutnent Number 202109297 <br />Type of Action <br />T rtnirtationofTax <br />Lien <br />The State Tax Lien is hereby fully terminated.. <br />I hereby certify Met the Nebraska Department of Revenue has compeed with the laws of the State of Nebraska at determination of dm <br />continuation, termination, partial rlease, or subordination indicated above. <br />'Reparees Signature <br />chris.dittmar@nebraska.gov <br />Revenue Agent 11/10/2022 (402)471-5712 <br />rills <br />r <br />Dab Phone Number <br />Email Address �° .:/ <br />turd Signature t C <br />Revenue Supervisor 11/10/2022 <br />ills <br />Date <br />42321505 Rev. 52018 <br />Supersedes 4-232.1868 Ree. 1-2015 <br />