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202303234 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000798-3 Pages: 1 <br />Debtor Name: ROBERTO HERNANDEZ MONTANO <br />Filing Date and Time: 06/28/2023 09:43 AM <br />3State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />94639663 <br />Federal Identification Number <br />Sock §ec urity Number <br />XXX -XX -9619 <br />Spouse's Social Security Number <br />Limn Serial Number <br />Date of Lien <br />Tax Category <br />County <br />12054768 <br />Lien flied with Register of Deeds <br />05/18/2020 <br />22 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAIMNG ADDRESS <br />ROBERTO HERNANDEZ MONTANO <br />1004 W 3RD ST <br />GRAND ISLAND NE 68801 <br />Type of <br />ti <br />El TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated <br />TAX YEARS 2017 <br />(corporate, individual Income, and withholding tax only) <br />UCC Instrument Number 20050007242 <br />County Instrument Number 202003344 <br />Continuance: UCC Instrument Number <br />Corttinuance: County Instrument Number <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br />TAX YEARS <br />(corporate, Individual income, and withholding tax only) <br />UCC Instrument Number <br />County Instrument Number <br />0 SUBORDINATION. The State Tax Lien is subordinated as follows. <br />UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State d Nebraska in <br />determination of the termination, partial release. or subord ration irxficated above. <br />e Revenue Agent 06/21/2023 (308)632-1203 <br />Pr �`:. �rAf ignatu Title Date Telephone Mmtber <br />L.2a4 A -44A Revenue Supervisor 06/21/2023 <br />Authorized Signature Title Date <br />4-23248 Rev. 846 Superman 4-23244 Rev. 1045 <br />