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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2304000273-1 <br />Debtor Name: GARY L STAROSTKA <br />Filing Date and Time: 04/06/2023 09:17 AM <br />Pages: 1 <br />202301635 <br />State Tax Lien -- Statement of Continuation or <br />NEBRAG44A Termination; Certificate of Partial Release <br />or Subordination <br />.,�.. _� _. _. � _� Ser. •::� <br />eEwe,,,,y±er NHW <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 Da Not Write In This Space <br />Nebtaska ID Number <br />6684696 <br />Federal ID Number <br />470766690 <br />Social Security Number <br />XXX -XX -0818 <br />Spouses Social Security Number <br />Lien Serial Number <br />11935805 <br />Lien Fite With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />08/23/2019 <br />Tax Program <br />1, 21 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address j <br />GARY L STAROSTKA <br />RD&DINC <br />663 FAIDLEY CT APT I <br />GRAND ISLAND NE 68803 <br />Tax Years 2015.2016 <br />LCC Instrument Number 190800€126.4 <br />County Instrument Number 201905075 <br />T <br />of Action <br />Z Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />J <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws a! the State of Nebraska in determination o! the <br />conlinuptierranewainatwnpartial release, or nurnrtinetkn indicated above. <br />ill''Preparer's Signature <br />rejtccca nbal'@nehrnska 81W <br />Email Adye <br />Ol'Authorignature <br />Revenue Agent 03/28'70'3 (407)59c-7549 <br />Title Date Phone Number <br />Revenue Supervisor <br />Tine Date <br />3/28/2023 <br />4.232• t eea her. 8•23 11. <br />O retsedes 4.232-Itee hea. •..2tl15 <br />