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Good life. Great Service. opv.WT OfiRMANS NE Sec of State - Robert B. Evnen Filing Document #: 2304000271-3 Pages: 1 Debtor Name: MICHAEL GRAGG Filing Date and Time: 04/06/2023 09:16 AM 202301633 State Tax Lien -- Statement of Continuation or Termination; Certificate of Partial Release or Subordination Pursuant to the revenue laws of the State of Nebraska, the Tax Commissioner hereby gives notice that the State Tax Lien against the taxpayer identified below, the original notice of which was duly filed of record as indicated, is continued, terminated, partially released, or subordinated, to the extent indicated below. Please Do Not Write In This space Nebraska ID Number 39515966 Federal ID Number Social Security Number XXX -XX -6466 Spouse's Social Security Nureater XXX -XX -8558 Lien Serial Number 12216447 Lisrct Fled With Secretary of State, Register of Deeds Date of Lien 12/27/2022 Tax Program 22 Courtly HALL Business Name and Location Address Taxpayer Name and Mailing Address MICHAEL GRAGG LORI L GRAGG 223 EAST 15TH STREET GRAND ISLAND NE 68801 Tax Years 2017 UCC Instrument Number 23010000903 County Instrument Number 202300056 Type of Action ® Termination of Tax Lien The State Tax Lien is hereby fully terminated. I hereby certey that the Nebraska Department of Revenue has complied with the laws 01 the State of Nebraska in determination of the centiraation, termination, partial release, or subordination indicated above. ▪ Sana -57 ▪ Pteparers Signature Sara. ho I i iday ®neb raska. go v Erni Address Revenue Agent 03;30/2023 (308)632-1208 Title Date Phone Number Qr A16,4g¢. Revenue Supervisor 03;30/2023 v Authorized S:grnture Title Date 4.232.1950 Feb. 0.201 Supersedes 4232-r950 Rev. 1.2015