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Good We. Great Service. <br />2023026 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000007-8 Pages: 1 <br />Debtor Name: SERGIO DOMINGUEZ MACIAS <br />Filing Date and Time: 06/01/2023 09:57 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 />Please Do Not Write In Thls Spaoe <br />Nebraska ID Number <br />48515663 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0566 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12216474 <br />Lien Filed With <br />Secretary of Stxte, Register of Deeds <br />Data of Lien <br />12/30/2022 <br />Tax Rogrem <br />22 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SERGIO DOMINGUEZ MACIAS <br />904 W 8TH ST <br />GRAND ISLAND NE 68801 <br />Tax Years 2019 <br />UCC Instrument Number 23010000897 <br />County Instrument Number 202300055 <br />Type of Action <br />Termination of Tax <br />Lien <br />The State -lax Lien is hereby <br />II <br />ated. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />continuation, termination, partial releese, or subordination Indicated above. <br />Revenue Agent 05/25/2023 (402)471-0987 <br />Preparers Signature Trite Date Phone Number <br />thao.tangnehraska.gov <br />Email Address <br />Revenue Supervisor 05125/2023 <br />A orized Signe tt Tale Data <br />4.232-IGee Rio. a-2ole <br />Sipereedes 4.2374tl6e Rev. I -Sets <br />