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N_FBRAt&KA <br />2icod Lite<Great Service. <br />axv.•nran or *wawa <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2305000381-8 <br />Debtor Name: SHANDI HARTWIG <br />Filing Date and Time: 05/10/2023 10:15 AM <br />Pages: 1 <br />1 <br />202302286 <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 <br />43100570 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -6983 <br />Spouse's Social Security Number <br />Uen Serial Number <br />12216432 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date at Llen <br />12/22/2022 <br />Tax Program <br />22 <br />Courcy <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SHAND! HARTWIG <br />508 CONEFLOWER <br />GRAND ISLAND NE 68803 <br />Tax Years 2020 <br />UCC tnstrumem Number 22120011298 <br />County Instrument Number 202208914 <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 />SnA/J, Revenue Agent 05/04/2023 (308)632-1208 <br />ir Preparers Sig toY�i��!! <br />re Title Date Ptrone Number <br />sara.holliday@nebraska.gov <br />Email Address <br />1_gal 4.4y41 <br />'Authorized Signalers <br />Revenue Supervisor 05104/2023 <br />Title <br />Date <br />4232-r9E4 Rev, 5h29t e <br />Simarsedes 4232-`O€8 Rev. 1.205 <br />