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Nom. -741- <br />Good lilt, Great Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2403000037-1 Pages: 1 <br />Debtor Name: SEDATION DENTISTRY OF GRAND ISLAND <br />Filing Dale and Time: 03/01/2024 09:44 AM <br />202400888 <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 />piano ooNot4YrNa InT>dao <br />Nebraska 10 Number <br />11249684 <br />Federal ID Number <br />461185506 <br />Sod& Security Number <br />*mate Social Security Number <br />Lien SON Number <br />12315884 <br />Lien Plied With <br />Secretary of State, Register of Deeds <br />Dab of Lien <br />03/29/2023 <br />She Ptoceare <br />1, 21 <br />County <br />HALL <br />Business <br />Name and Location Address <br />Taxpayer Name and Malang Address <br />j <br />SEDATION DENTISTRY OF GRAND ISLAND PC <br />908 N HOWARD AVE STE 106 <br />GRAND ISLAND NE 68803 <br />Tax Years 2019, 2020 <br />UCC Instrument Number 2304000287-4 <br />County instrument Number 202301640 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fatly terminated. <br />1 hereby cerdy that the Nebraska Department of Revenue has complied wth the kers of the State of Nebraska in determination of the <br />coronation, temptation. peakl release, or subordination Indicated above. <br />I00)OyiSl UI.OLw Revenue Agent <br />Prepamra Signature title <br />daicisa hnllan)febreska gnv <br />Email Address <br />A ¢$am. <br />02/23/2024 (4021471-5723 <br />6eae Phone Number <br />r,,,. Smpwrvienr <br />2/23/2024 <br />cora 44ax-,asanet. Feel. <br />superman 44SC-tees mer. 1.1ors <br />