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N_. RArSu <br />Good t.i`0, Great Service, <br />ar.nma»s o. •tr.. <br />202303 751 <br />NE Sec of Stale - Robert B. Evnen <br />Filing Document #: 2307000739-9 Pages: 1 <br />Debtor Name FLORENCIO A CAYAX <br />Filing Date and Time: 07/25/2023 10:04 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 />39059553 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -2562 <br />Spouse's Social Security Number <br />lien Serial Number <br />52030161 <br />Lien Filed Nth <br />Secretary of State, Register of Deeds <br />Date of Lien <br />07/22/2005 <br />Tax Program <br />22 <br />County <br />HALL <br />I Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />FLORENCIO A CAYAX <br />32`23 S LX.0 s -r ST. <br />G*Na IstA o, int. &i c <br />'fax Years 2003 <br />UCC Instrument Number 99147425128 y County Instrument Number 201406158 <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 years. <br />I hereby certify that the Nebraska Department of Revenue hes compiled with the laws of the Slate of Nebraska In determination (Atha <br />continuation, termination, partial release, or wbarainanon indicated above. <br />Revenue Agent 07/12/2023 (402)471-5712 <br />,Preparers, Signature Tile Date Phone Number <br />chris.dittmar@nebraska ov <br />Erred Address <br />load Signatu <br />Revenue Supervisor 07/12/2023 <br />Title Da4e <br />4-23k-1eae Fey, 8-20ts <br />Superstdae 4.232.1068 Rey. 1-2055 <br />