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N_EBRAs, .. <br />Gxd Life. Great Se,vice. <br />202303233 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000797-4 <br />Debtor Name: SHANE F HIGGINS <br />Filing Date and Time: 06/28/2023 09:42 AM <br />Pages: 1 <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 flied of record es indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Please Oo Not Write In Thla Space <br />Nebraska ID Number <br />22812091 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -8683 <br />Spouse's Social Security Number <br />XXX -XX -3808 <br />Lien Serial Number <br />12206485 <br />Lien Rled With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />08/23/2022 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name end Mailing Address <br />SHANE F HIGGINS <br />DARLENE K HIGGINS <br />3335 PRIMROSE DRIVE <br />GRAND ISLAND NE 68801 <br />Tax Years 2015: 2018 <br />UCC Instrument Number 22080010472 <br />County Instrument Number 202206373 <br />Type of Action <br />Termination of Tax <br />Lich <br />The State Tax Lien is hereby fully terminated. <br />1 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 release. or aubord*tabon indicated above. <br />`L�c'+hQrt Revenue Agent 06/21/2023 (308)632-2272 <br />Preparer's Si a Title Date Phone Numbor <br />brittany.l l iteras@nebraska.gov <br />Email Address <br />1_AQ(G 4.444 <br />'Authorized Signature <br />Revenue Supervisor 06!21!2023 <br />Tilde <br />Date a-292.7 pea Mv. 0-2016 <br />S'purdae 4-232.1960 Rev. 1-2010 <br />