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NEB. ^644 <br />OLOOOOOKOI OC <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2310000449-3 Pages: 1 <br />Debtor Name: TENLEY JANSEN <br />Filing Date and Time: 10/18/2023 09:41 AM <br />202305494 <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 InThis Space <br />Nahraake 13 Numtter <br />12982024 <br />Forteral It Nurrtrer <br />811574740 <br />Social S`ecurrty N <br />XXX -XX -4308 <br />Spuu.ne's Snoial Security Number <br />Lien Serial Number <br />12054574 <br />(.ion Filed With <br />Secretary of State. Register of Deeds <br />Daae Cl I..€en <br />05/21/2020 <br />'fax r ,ram <br />21 <br />Courtly <br />HALL, <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />j <br />TENLEY JANSEN <br />2219 1417{ AVE <br />CENTRAL CITY NF 68826 <br />Tax Years 201.8. 2019 <br />UCC Instrument Number 20060004776 County Instrument Number 202003818 <br />Type of Action <br />ictrninatiOn Or fax <br />1..ien <br />The Slade Tet <br />list is hereby fully terminated. <br />I tanoby certify that the Nebraska Department of Pevenue has complied with the taws ut the State of Nehru <br />continuation. termination. partial release, or subordination indicated above. <br />t:?. 1 <br />P'Preparef s Signature <br />marl iza garzaki`:nehraska gov <br />Email Andre <br />Authnrtzoil Signati <br />Revenue Agent <br />Tale <br />munation of the <br />I0/1 V2023 (407)170-3345 <br />Date Phone Number <br />.Revgnut:,Slip ets <br />r3 X1'-3 <br />Tale Date <br />a-an•,eee rev, 0•2018 <br />E;:earsedes 4292-1388 hen 14015 <br />