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NEB Amar <br />Good Lire. Great Scrvicc. <br />smwnx«rer s,vwus <br />1nf,� <br />NE Sec of State - Robert B. Evne1 <br />Filing Document #: 2305000003-3 Pages: 1 <br />Debtor Name: CHARLES .1 JONES III <br />Filing Date and Time: 05/01/2023 08:31 AM <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 />Nesse Do Not Write M This space <br />Nebraska ID Number <br />98040642 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -3043 <br />Spouse's Social Security Number <br />XXX -XX -7864 <br />Len Serial Number <br />12183558 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />10/25/2021 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />CHARLES J JONES III <br />TIFFANY D ALLEN <br />12318 DE FORREST ST <br />HOUSTON TX 77066 <br />Tax Years 2020 <br />UCC Instrument Number 21110001372 <br />County Instrument Number 202109296 <br />Type of Action <br />Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated <br />I hereby certify that the Nebraska Department of Revenue has complied with the taws of the State of Nebraska In determination of the <br />continuation, termination. partial release. or subordination Indicated above. <br />,Preparer's Signature <br />sherri.nelson@nebraska.gov <br />Em <br />Revenue Agent <br />The <br />04/26/2023 (402)471-5916 <br />Date Phone Number <br />04/26/2023 <br />Date 4.232.186e Rev. 8-201e <br />Supersedes 4-232•18t8 Rev.1-2015 <br />