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Good t.ife, Great Smvice, <br />YpuiMRNi 0.11.1eNr <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000548-0 Pages: 1 <br />Debtor Name: ISEL SARMIENTO ROSA <br />Filing Date and Time: 06/22/2023 11:17 AM <br />202303105 <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 />Nebrasam ID Number <br />93328265 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -7807 <br />Spouses Social Security Number <br />Lien Serial Number <br />12299322 <br />Llan Filed With <br />Secretary of State, Register of Deeds <br />Date of Llen <br />05/13/2022 <br />Tax Program <br />22 <br />County <br />HALL <br />[ Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ISEL SARMIENTO ROSA <br />104 W 11TH STREET <br />GRAND ISLAND NE 68801 <br />Tax Years 2018: 2019 <br />UCC Instrument Number 22050009390 <br />County Instrument Number 202203752 <br />Type of Action <br />Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />1 hereby certify that the Ne elm Department of Revenue hes complied with the laws of Me State of Nebraska In determination of the <br />continuation, termination, partial release,or subordination indicated above. <br />rlIS7 Lure 3fd Title Data Phone Number <br />Revenue Supervisor 06/06/2023 (308)632-1205 <br />leah.nobie©nebraska.gov <br />Email Address <br />Le,aA i, 6er. Revenue Supervisor 06/06/2023 <br />• Authorized Signature Title Date <br />4-232.1266 her,. S-2ore <br />Supersedes 4-232.11186 Flee. 1 -Se€s <br />