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Good L: 0. Great Service. <br />11111.11aMMI 01, 00,111.46 <br />202305173 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2310000041-5 <br />Debtor Name: KIMBERLY A. WISEMAN <br />Filing Date and Time: 10/02/2023 10:18 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 filed of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Please Do Not Write InThla Space <br />Nebraska ID Number <br />101.55511 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -4498 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11431655 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Onto of Lien <br />03/24/2014 <br />Tax Program <br />01 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />KIMBERLY A. WISEMAN <br />103 BEACHWOOD DRIVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2010, 2011,2012 84 2013 <br />UCC Instrument Number 99147329528 <br />County Instrument Number 201401746 <br />Type of Action <br />® Continuation of Tax <br />Lien <br />This is a continuation of an existing lien and serves to continue the lien and priority of the Nebraska Department of Revenue <br />for an additional 10 years. <br />I hereby certify that the Nebraska Department of Revenue has complied with the Iowa of the State of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />,bOO+S1"u- tAtrlllQf‘d Revenue Agent 09128/'2023 (4021471 -5723 <br />Preparers Signature Tibia Date Phone Number <br />dai tha hotland(tnebrsska,gnv <br />Email Address <br />'Au <br />Signatu <br />Revenue Supervisor 9/28/2023 <br />Title Date 4-22-1968 Rev. 9-2019 <br />mum, 4-2332-1968 Rev. 1-2018 <br />