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NIEBRA&&}4A- <br />�•_ ay t..l.•. Gsreac _ erv-ce. <br />202302985 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000384-4 Pages: 1 <br />Debtor Name: JOSE E GAYTAN <br />Filing Date and Time 06/15/2023 09:26 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 This Space <br />Neb,SSka ID Number <br />40603229 <br />1' ederal iD Number <br />Sam Security Number <br />XXX -XX -2189 <br />Spouse% Social Security Number <br />Serial Number <br />1132508.4 <br />Lien Feed With <br />Secretary of State, Register of Deeds <br />Da:e o1 Lien. lax Program <br />11/19/2013 22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />i <br />JOSE E GAYTAN <br />915 WSTH <br />GRAND ISLAND NE 68801 <br />Tax Years 2009: 2012 <br />UCC instrument Number 99137264035 <br />County instrument Number 201309295 <br />Type of Action <br />® Continuation of Tax <br />Lien <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify that the Nebraska Department of Revenue has complied with Bra laws of the State of Nebraska in determination of the <br />continuation, termmatian, partial release. or subordination indicated above. <br />S' Revenue Agent <br />06/09/2023 (308)632-1208 <br />Preparers Signature Tide Date Phone Number <br />sara.holl iday enebraska.gov <br />Email Address <br />b,A%6& <br />Authorized Signature <br />Revenue Supervisor 06/09/2023 <br />Title Date <br />4-232-t968 Ren. 540 t <br />Supersedes 4-2224e6e Real. 9.015 <br />