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202303236
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Last modified
6/28/2023 4:10:34 PM
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6/28/2023 4:10:34 PM
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202303236
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NEER AGYTAr <br />:i Jt�.tl L,fe.: (roar Sorv'ice. <br />202303 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000813-1 Pages: 1 <br />Debtor Name: RAMON VERJAN PALACIOS <br />Filing Date and Time: 06/28/2023 10:17 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 />Nebraska ID Number <br />43206352 <br />Euparal ID Number <br />Social Security Number <br />XXX -XX -0795 <br />^.spouse's Social Security NumEar <br />LWn Sartat Number <br />11326555 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Deal of Lien <br />12/12/2013 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />j <br />RAMON VERJAN PALACIOS <br />1414 ST PAUL RD APT 86 <br />GRAND ISLAND NE 68801 <br />Tux Years 2009: 2010 <br />UCC Instrument Number 99137273349 County Instrument Number 201309695 <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 sears. <br />I hereby certify that the Nebraska Department of Revenue has complied w4M the laws of the Stele or Nebraska In determination of rise <br />continuation, termination, partial release, or subordination indicated above., <br />,Preparers Signature <br />Revenue Agent 06/20/2023 (402)471.5712 <br />chris.dittmanf@nebraska,gov <br />Title Date Phone Number <br />Email Address <br />*✓ ' <br />,,tt�% ,e� ,-,.� ..; Revenue Supervisor 06/20i2023Autponzed Signature j '` * Tale Date <br />4-032.t908 Rev. 0-2018 <br />Supersedes 4.432-s1966 Rev. 1.2016 <br />
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