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tiiE8 E74 - <br />Geed Lire. Great Sj r: cn. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2305000965-4 Pages: 1 <br />Debtor Name: DAVID V GUERRA <br />Filing Date and Time: 05/31/2023 09:47 AM <br />202302646 <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 InThle Space <br />Nebraska ID Number <br />41736273 <br />Federal IO Number <br />Social Security Number <br />XXX -XX -6661 <br />Spouse's Social Security Number <br />Lien Serial Number <br />40090097 <br />lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />03/01/2004 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />1 <br />GUERRA/DAVID V <br />97:z. N C.LESURN 3 <br />GRAND iSLAND N 4.9i4160i <br />Tax Years 2(0(1 <br />l.. 'CC Instrument Number 99043210243; 99137226326 County Instrument Number 200401963; 201307441 <br />Type of Action <br />® Continuation of Tax This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />Lien for an additional 10 years. <br />• <br />f hereby certify that the Nebraska Department et Revenue has emptied with the tares of the State of Nebraska in determination of the <br />contkruatbn. termination, partial release, or Subordination Indicated above. <br />'Preparers Signature <br />Revenue Agent <br />chris.dittmar fr?nebraska. ray <br />imaiIAd<Jerrss F Jam- <br />05/25/2023 (402)471-5712 <br />Date <br />Aue16rized Signature <br />Revenue Supervisor 05/25/2023 <br />Title <br />Phone Number <br />Data 4.232.1980 Rev. 8-2ot5 <br />SatIernIWn 4-232.196$ Rev. 1-2015 <br />