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NEBRAS-K-A <br />Good bre. Greet S rv,ca. <br />Vieva•IMINT 1112.41.11 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2301000861-3 Pages: 1 <br />Debtor Name: G I ENTERPRISES LLC <br />Filing Date and Time 01/18/2023 09:41 AM <br />202300275 <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 Specs <br />Nebraska ID Number <br />7484410 <br />Lien Serial Number <br />12208116 <br />Federal ID Number <br />470794170 <br />Social Security Number <br />Spouse's Social Security Number <br />Lien Filed With <br />Secretory or State, Register of Deeds <br />Date of Lien <br />03/30/2022 <br />Business Name and Location Address <br />Tax Program j County <br />21 HALL <br />Taxpayer Name and Mailing Address <br />G 1 ENTERPRISES LIC <br />10102 S 173RD CIRCLE <br />OMAHA NE 68136 <br />Tax Years 2019 <br />UCC Instrument Number 2204000794-0 County Instrument Number 202202795 <br />L Type of Action <br />® Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />1 <br />I hereby eertily that the Nebraska Department of Revenue has complied with the laws of the Slate oh Nebraska in determinelion of the <br />��ccontiinLnuation, termination.partial release. or subordination indicated above. <br />/C',4.17 “1 <br />44 2.oeottt- Revcnue Agent O1 L10/2023 (402)471-5717 <br />11Preparer'a Signature Title Date Phone Number. <br />rehecca.ward@nebraska 1rn <br />Email AddresL,.�„ <br />r Authoriaed S(pt`$li <br />Revenue, Supervi¢nr <br />Tale <br />A/A.9/a-3 <br />Date 4.282•+998 Per, 8-2015 <br />Supersedes 4-232-1968 Rev. 1-2015 <br />