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N_CBRA- <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2304001135-9 Pages: 1 <br />Debtor Name: PATRICK A HORTON <br />Filing Date and Time: 04/26/2023 09:31 AM <br />202502023 <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 ( Federal ID Number <br />94089264 I <br />Soca1 Security Number <br />XXX -XX -6763 <br />Spouse's Social Security Number <br />Lien Serial Number tion Filed WON <br />12182162 Secretary of State, Register trf Deeds <br />Date o1 Lien <br />10/06/2021 <br />Tax Program <br />22 <br />County <br />NNALL <br />Business Name and Location Address <br />Taxpayer <br />Name and Mailing Address <br />PATRICK A HORTON <br />4870 11WY 30 APT 4 <br />ALDA NE 68810 <br />Tax Years 2020 <br />UCC Instrument Number 21100004990 Counts Instrument Number 202108732 <br />Type of Action <br />'Termination of Tax 'Che State Tax Lien is hereby fully terminated. <br />Lien <br />I horety eertiiy that the Nebraska Department of Revenue has complied with the laws of the State of <br />continuation, termination, partial release. or $Ubordlnation indicated above. <br />aormination of the <br />441.44, , Revenue Agent 04/20/2023 (308)632-1206 <br />II, Z7441.44, <br />Signature Tale Date Phone Number <br />diane.rickardrOnebraska.gov <br />Entail Address <br />f ,t%-6 Revenue Supervisor 04/20/2023 <br />�Arthsroat,t Signature Title Date <br />4-232-590a Rev, 0.29(8 <br />Supensedee 4,232.1968 fie, 1-2015 <br />